Individual
DR. HORMOZE A GOUDARZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 763-6571
(910) 763-6570
Mailing address
1721 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 763-6571
(910) 763-6570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203334D
MEDICARE PIN
NC
Enumeration date
03/17/2006
Last updated
12/09/2013
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