Provider Demographics
NPI:1801136874
Name:AZOULAY, BATYA
Entity type:Individual
Prefix:
First Name:BATYA
Middle Name:
Last Name:AZOULAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 COOPER LANDING RD
Mailing Address - Street 2:APT B303
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1768
Mailing Address - Country:US
Mailing Address - Phone:908-591-5395
Mailing Address - Fax:
Practice Address - Street 1:801 COOPER LANDING RD
Practice Address - Street 2:APT B303
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1768
Practice Address - Country:US
Practice Address - Phone:908-591-5395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011169174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist