Organization
MADAN LAL M.D. P.A.
Active
Organization
MADAN LAL M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMITA GUPTA (MANAGER)
(919) 934-3108
Entity
Organization
Contact information
Practice address
925 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4357
(919) 934-3108
(919) 938-1770
Mailing address
PO BOX 239, SMITHFIELD, NC 27577-0239
(919) 934-3108
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
26839
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7950626
—
NC
Enumeration date
04/09/2008
Last updated
08/22/2008
Update your record
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