Alexandra Michelle Petraszko
Oral and Maxillofacial Pathology
8305 Falls Of Neuse Rd Ste 105
Raleigh
, North Carolina 27615-3546
Alexandra Michelle Petraszko
Oral and Maxillofacial Pathology
8305 Falls Of Neuse Rd Ste 105
Raleigh
, North Carolina 27615-3546
(919) 841-1720
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Alexandra Michelle Petraszko
- 8305 Falls Of Neuse Rd Ste 105
- Raleigh, NC
- Zip : 27615-3546
- Phone : (919) 841-1720
Second Address
- Alexandra Michelle Petraszko
- 8305 Falls Of Neuse Rd Ste 105
- Raleigh, NC
- Zip : 27615-3546
- Fax : (919) 841-1725
- Phone : (919) 841-1720
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 00353 | NC |
National Provider Identifier
| NPI | 1174941397 |
|---|---|
| Provider Name | Alexandra Michelle Petraszko |
| First Address | Raleigh, NC 27615-3546 |
| Second Address | Raleigh, NC 27615-3546 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2014 |
| Last Update Date | 19/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.