Organization
GREENSBORO PEDIATRIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M.SHUAIB FAROOQUI MD (PRESIDENT)
(336) 235-4300
Entity
Organization
Contact information
Practice address
1002 N CHURCH ST, STE 301, GREENSBORO, NC 27401-1439
(336) 235-4300
(336) 235-4331
Mailing address
1002 N CHURCH ST, STE 301, GREENSBORO, NC 27401-6111
(336) 235-4300
(336) 235-4331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200100863
NC
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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