Healthcare Provider Details

I. General information

NPI: 1720851488
Provider Name (Legal Business Name): QUASAR PEDIATRICS NORTH CAROLINA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2023
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13200 STRICKLAND RD STE 120
RALEIGH NC
27613-5212
US

IV. Provider business mailing address

4850 TAMIAMI TRL N UNIT 301
NAPLES FL
34103-3034
US

V. Phone/Fax

Practice location:
  • Phone: 239-935-5721
  • Fax:
Mailing address:
  • Phone: 239-308-4746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SEAN ALEXANDER FEINBERG
Title or Position: OWNER
Credential: MD
Phone: 239-935-5721