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1497751143
MANISH AMRISH FOZDAR
RALEIGH, NC
NPI
1497751143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC 9800535)
Enumeration Date
2005-06-27
Last Update Date
2013-08-19
Business Address
Dr. MANISH AMRISH FOZDAR M.D.
4700 FALLS OF NEUSE RD SUITE 250
RALEIGH, NC 27609-6200
Phone number: 919-322-1954
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Mailing Address
Dr. MANISH AMRISH FOZDAR M.D.
1109 CHILMARK AVE
WAKE FOREST, NC 27587-5334
Phone number: 919-322-1954
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