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Zachary William Flaccavento

NPI Registration Record

Provider / OrganizationNPIDate Certified
ZACHARY WILLIAM FLACCAVENTO18519755772022-04-28

Zachary William Flaccavento is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851975577. Registration indicates Zachary William Flaccavento is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider NameMr. Zachary William Flaccavento
Practice Office Address3031 NEW BERN AVE STE 306
RALEIGH, NC US
Practice Office Telephone9192313966
Practice Office Fax9192313912
Mailing Address3031 NEW BERN AVE STE 306
RALEIGH, NC 276102989 US
Business Telephone9192313966
Business Fax9192313912
Offices / Locations
AddressCity / StatePhone / Fax
4350 US 421 S Lillington, NC 275466760 9108931690
Contact Endpoints
Direct Messaging Address [][email protected]
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
0010-11539
NC
OPI Codes
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