Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicholas Joseph D'Avanzo, MD

Individual provider Pediatrics Physician · NPI 1700984812

Dr. Nicholas Joseph D'Avanzo, MD is a Pediatrics Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3124 Blue Ridge Rd Ste 102
Raleigh, NC 27612-8041
Phone: (919) 782-0021
Fax: (919) 571-0825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 39784 (NC)

Record details

NPI number1700984812
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

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