Organization
OCULOFACIAL PLASTIC SURGERY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENZO A ZALDIVAR MD (PRESIDENT)
(919) 443-2557
Entity
Organization
Contact information
Practice address
3731 NW CARY PKWY STE 101, CARY, NC 27513
(919) 443-2557
(919) 869-1869
Mailing address
PO BOX 1027, MORRISVILLE, NC 27560-1027
(919) 443-2557
(919) 869-1869
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8922474
—
NC
Enumeration date
06/17/2011
Last updated
08/07/2019
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