Provider Demographics
NPI:1316359847
Name:PIAZZA, NICHOLAS (MD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:PIAZZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MACNIDER HL
Mailing Address - Street 2:CAMPUS BOX 7005
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7005
Mailing Address - Country:US
Mailing Address - Phone:919-966-4468
Mailing Address - Fax:
Practice Address - Street 1:125 MACNIDER HL
Practice Address - Street 2:CAMPUS BOX #7005
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7005
Practice Address - Country:US
Practice Address - Phone:919-966-4468
Practice Address - Fax:919-843-5945
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC202429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine