Individual
CHRISTINE MARIE CISZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7251
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06276
NC
363AS0400X
Surgical Physician Assistant
0010-06276
NC
Other
Enumeration date
02/10/2016
Last updated
02/18/2021
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