MEDICARE: ANTHONY F AZZI MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1942360300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY F AZZI MD PA

Provider Business Mailing Address
First Line	:	10224 DURANT RD
Second Line	:	SUITE 109
City	:	RALEIGH
State	:	NC
Zip	:	27614-6468
Country	:	US
Telephone Number	:	919-329-2711
Fax Number	:	919-329-2713

Provider Business Practice Location Address
First Line	:	10224 DURANT RD
Second Line	:	SUITE 109
City	:	RALEIGH
State	:	NC
Zip	:	27614-6468
Country	:	US
Telephone Number	:	919-329-2711
Fax Number	:	919-329-2713

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTHONY F AZZI
Credential	:	M.D.
Telephone Number	:	919-329-2711

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	02/20/2008

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