Individual
PETER PAUL BUONACCORSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4601 LAKE BOONE TRAIL, SUITE 2C, RALEIGH, NC 27607
(919) 348-9195
(919) 786-0604
Mailing address
4601 LAKE BOONE TRAIL, SUITE 2C, RALEIGH, NC 27607
(919) 348-9195
(919) 786-0604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2010-01241
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2010-01241
NC
Other
Enumeration date
03/04/2007
Last updated
06/11/2013
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