Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADISON FAZZOLARE, PA-C
ActiveMADISON FAZZOLARE, PA-C is a Physician Assistant healthcare provider located in PROSPECT HILL, North Carolina. NPI 1073332821 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PROSPECT HILL, NC
Registration Details
- NPI Number
- 1073332821
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2024 (1.8446534957743 yrs)
- Last Updated
- Nov 8, 2024
- License
-
0010-14607 (NC)
Practice Information
- Address
-
322 MAIN STPROSPECT HILL, NC, 273149438Browse NC providers · Browse ZIP 27314
- Phone
- 3365623311
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PROSPECT HILL, NC
| Name | Credential | NPI |
|---|---|---|
| SOROUSH VAHDATI-SHAMS | PA-C | 1477375491 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.