Individual
THOMAS ARTHUR CISZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28302
(910) 223-1339
(910) 486-6502
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28302
(910) 223-1339
(910) 486-6502
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
29541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102C
BCBS
—
05
—
8922498
—
NC
Enumeration date
09/11/2006
Last updated
07/08/2007
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