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Individual

VINCENT LAWRENCE FIRRINCIELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2615 LAKE DR, SUITE 301, RALEIGH, NC 27607-6693
(919) 787-5995
(919) 783-9406
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
200300338
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952308801
NC
01
NCS118A
MEDICARE PTAN
NC
Enumeration date
07/07/2005
Last updated
10/31/2023
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