| Wilmington Endocrinology Pa | |
|
1717 Shipyard Blvd Suite 220 Wilmington NC 28403-8023 | |
| (910) 254-9464 | |
| (910) 254-3474 |
| Full Name | Wilmington Endocrinology Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1717 Shipyard Blvd, Wilmington, North Carolina |
| Authorized Official Name and Position | Ghobad Azizi (PRESIDENT) |
| Authorized Official Contact | 9102549464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmington Endocrinology Pa Po Box 3788 Wilmington NC 28406-0788 Ph: (910) 254-9464 | Wilmington Endocrinology Pa 1717 Shipyard Blvd Suite 220 Wilmington NC 28403-8023 Ph: (910) 254-9464 |
| NPI Number | 1801945571 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 02/17/2011 |
| Medicare PECOS PAC ID | 5799850905 |
|---|---|
| Medicare Enrollment ID | O20080822000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801945571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 110902 (North Carolina) | Primary |
| Provider Name | Ghobad Azizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134162464 PECOS PAC ID: 2163597360 Enrollment ID: I20080822000593 |
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