| Carolina Dermatology And Endocrinology, Pa | |
|
244 Medspring Dr Clayton NC 27520-9293 | |
| (919) 359-0291 | |
| (919) 553-2907 |
| Full Name | Carolina Dermatology And Endocrinology, Pa |
|---|---|
| Speciality | Dermatology |
| Location | 244 Medspring Dr, Clayton, North Carolina |
| Authorized Official Name and Position | Sanjay Tomar (OWNER) |
| Authorized Official Contact | 9193590291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Dermatology And Endocrinology, Pa 244 Medspring Dr Clayton NC 27520-9293 Ph: (919) 359-0291 | Carolina Dermatology And Endocrinology, Pa 244 Medspring Dr Clayton NC 27520-9293 Ph: (919) 359-0291 |
| NPI Number | 1962733170 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 03/30/2021 |
| Medicare PECOS PAC ID | 4981731155 |
|---|---|
| Medicare Enrollment ID | O20100420000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962733170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 2008-01358 (North Carolina) | Secondary |
| 207N00000X | Dermatology | 2008-01357 (North Carolina) | Primary |
| Provider Name | Sanjay Tomar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215106836 PECOS PAC ID: 8022176940 Enrollment ID: I20081022000216 |
| Provider Name | Rashmi Tomar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902001837 PECOS PAC ID: 9830164045 Enrollment ID: I20081022000226 |
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