| The Longevity Doctor, PLLC | |
|
2810 Wakefield Pines Dr Ste 115 Raleigh NC 27614-7078 | |
| (919) 417-3740 | |
| Not Available |
| Full Name | The Longevity Doctor, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2810 Wakefield Pines Dr Ste 115, Raleigh, North Carolina |
| Authorized Official Name and Position | Octavian M. Belcea (MANAGER) |
| Authorized Official Contact | 9194173740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Longevity Doctor, PLLC 2810 Wakefield Pines Dr Ste 115 Raleigh NC 27614-7078 | The Longevity Doctor, PLLC 2810 Wakefield Pines Dr Ste 115 Raleigh NC 27614-7078 Ph: (919) 417-3740 |
| NPI Number | 1497500441 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497500441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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