Healthcare Provider Details

I. General information

NPI: 1447228283
Provider Name (Legal Business Name): ANTHONY F AZZI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NEW BERN AVE
RALEIGH NC
27610-1231
US

IV. Provider business mailing address

PO BOX 7126
ROCKY MOUNT NC
27804-0126
US

V. Phone/Fax

Practice location:
  • Phone: 919-350-0008
  • Fax: 919-350-7204
Mailing address:
  • Phone: 919-601-5540
  • Fax: 252-212-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number37786
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number37786
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: