Individual
DR. MANISH AMRISH FOZDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 FALLS OF NEUSE RD, SUITE 250, RALEIGH, NC 27609-6200
(919) 322-1954
(919) 322-1955
Mailing address
1109 CHILMARK AVE, WAKE FOREST, NC 27587-5334
(919) 322-1954
(919) 322-1955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9800535
NC
Other
Enumeration date
06/27/2005
Last updated
08/19/2013
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