Organization
TRIANGLE PREMIER WOMEN'S HEALTH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIAMAK MARZBANI M.D. (ADMINISTRATOR)
(919) 934-3015
Entity
Organization
Contact information
Practice address
520 NORTH ST, SMITHFIELD, NC 27577-4016
(919) 934-3015
(919) 934-0958
Mailing address
520 NORTH ST, SMITHFIELD, NC 27577-4016
(919) 934-3015
(919) 934-0958
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31872
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79017616
—
NC
Enumeration date
05/31/2006
Last updated
09/30/2013
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