Individual
DR. MARIA MARTA GAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5720 FAYETTEVILLE RD, DURHAM, NC 27713-9089
(919) 484-9931
Mailing address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-2611
(919) 764-2181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2003-00601
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135AE
—
NC
Enumeration date
09/20/2006
Last updated
10/08/2015
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