Individual
MR. PHILIP R FERRAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
8300 HEALTH PARK, SUITE 131, RALEIGH, NC 27615-4730
(919) 322-0773
(919) 615-0456
Mailing address
8300 HEALTH PARK, SUITE 131, RALEIGH, NC 27615-4730
(919) 322-0773
(919) 615-0456
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
1410
FL
156FX1800X
Optician
Primary
1987
NC
156FX1800X
Optician
3776
NY
Other
Enumeration date
12/27/2011
Last updated
01/25/2015
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