Organization
METROVIEW VASCULAR AND SURGICAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTINE R EZE M.D. (PRESIDENT)
(704) 864-6500
Entity
Organization
Contact information
Practice address
825 MAJESTIC CT STE F, GASTONIA, NC 28054-5190
(704) 864-6500
(704) 864-0104
Mailing address
PO BOX 550490, GASTONIA, NC 28055-0490
(704) 864-6500
(704) 864-0104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9600205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036M
BLUE CROSS
NC
01
—
16674
PARTNERS MEDICARE
NC
05
—
5900575
—
NC
01
—
7152565
CIGNA
NC
01
—
NPA752
SC MEDICAID
SC
Enumeration date
09/20/2005
Last updated
02/22/2012
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