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Organization
RIVERDALE FAMILY MEDICINE, PA
Active
Organization
RIVERDALE FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE L ZALDIVAR M.D. (PRESIDENT)
(919) 967-6646
Entity
Organization
Contact information
Practice address
127 E MARKET ST, SMITHFIELD, NC 27577-3915
(919) 967-6646
Mailing address
PO BOX 760, SMITHFIELD, NC 27577-0760
(919) 967-6646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9801124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11623
BCNC
NC
05
—
8911623
—
NC
Enumeration date
03/15/2007
Last updated
08/07/2007
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