Organization
FAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED ASIF RAZA RIZVI MD (PRESIDENT)
(910) 609-1880
Entity
Organization
Contact information
Practice address
105 ROXIE AVE, FAYETTEVILLE, NC 28304-2123
(910) 609-1880
(910) 609-1836
Mailing address
PO BOX 87186, FAYETTEVILLE, NC 28304-7186
(910) 609-1880
(910) 609-1836
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9401482
NC
Other
Enumeration date
02/25/2007
Last updated
12/20/2007
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