Provider Demographics
NPI:1538763610
Name:MASSICOTTE-AZARNIOUCH, DAVID (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:MASSICOTTE-AZARNIOUCH
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:UNC CHAPEL HILL, ATTN: BRITT RITTER
Mailing Address - Street 2:145 N. MEDICAL DRIVE, CB #9520
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-9520
Mailing Address - Country:US
Mailing Address - Phone:919-962-2556
Mailing Address - Fax:919-962-0193
Practice Address - Street 1:UNC HOSPITALS, DEPARTMENT OF MEDICINE
Practice Address - Street 2:101 MANNING DRIVE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-966-2561
Practice Address - Fax:919-966-4251
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program