Organization
WAKE FOREST PEDIATRIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI WEINSTEIN (MANAGER OF CORP)
(919) 556-1541
Entity
Organization
Contact information
Practice address
1655 WAKE DRIVE, SUITE 101, WAKE FOREST, NC 27587-7324
(919) 556-1541
(919) 556-5277
Mailing address
1655 WAKE DRIVE, SUITE 101, WAKE FOREST, NC 27587-7324
(919) 556-1541
(919) 556-5277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012T6
—
NC
Enumeration date
06/30/2005
Last updated
07/21/2022
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