Organization
ANTI-AGING & AESTHETIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR DAVID ZACCO D.O. (PRESIDENT)
(919) 362-5910
Entity
Organization
Contact information
Practice address
410 E WILLIAMS ST, APEX, NC 27502-2149
(919) 362-5910
(919) 362-0071
Mailing address
410 E WILLIAMS ST, APEX, NC 27502-2149
(919) 362-5910
(919) 362-0071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
96-00789
NC
204F00000X
Transplant Surgery Physician
96-00789
NC
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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