Park Avenue Pediatrics PA
NPI #1417914797 in Roanoke Rapids, North Carolina
Provider Information
- NPI Number
- 1417914797
- Entity Type
- Organization
- Organization Name
- Park Avenue Pediatrics PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- Apr 28, 2006
- Last Updated
- Feb 15, 2022
Practice Location
- Address
- 529 BECKER DR
- City
- Roanoke Rapids
- State
- North Carolina
- ZIP Code
- 27870-3303
- Phone
- (252) 537-6465
Authorized Official
- Name
- SANDEEP KUMAR TIWARI, MD
- Title
- PRESIDENT
- Phone
- (252) 537-6465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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