Individual
VESELIN STOYANOV GIZDARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7189
Mailing address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577
(919) 938-7189
(919) 934-1761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-01274
NC
208M00000X
Hospitalist Physician
2007-01274
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146YJ
BCBS NC
NC
05
—
5907141
—
NC
01
—
812084
PARTNERS/BLUE MEDICARE
NC
Enumeration date
06/24/2007
Last updated
08/08/2024
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