Old Town M.D.

LBN: Old Town M.D.
Old Town M.D. is an health care organization with primary practice located at 500 Westover Dr Ste 10417 , Sanford NC 27330-8941. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Old Town M.D. can be contacted via phone (704) 709-9362, or through Mazzella, William J. via phone (704) 709-9362.

Contact Information

Primary practice address
500 Westover Dr Ste 10417 Sanford NC 27330-8941
Phone: (704) 709-9362
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mazzella, William J. Doctor of Medicine (MD)
Phone: (704) 709-9362

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1417566779
LBN Legal business name Old Town M.D.
DBA Doing business as
Authorized official Mazzella, William J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2020
Last updated Jul 23rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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