| Duke Med Peds at Roxboro St | |
|
4020 N Roxboro St Durham NC 27704-2120 | |
| (919) 620-5333 | |
| Not Available |
| Full Name | Duke Med Peds at Roxboro St |
|---|---|
| Speciality | Internal Medicine |
| Location | 4020 N Roxboro St, Durham, North Carolina |
| Authorized Official Name and Position | Christopher Thomas Frederick (CFO) |
| Authorized Official Contact | 9196137762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duke Med Peds at Roxboro St Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Duke Med Peds at Roxboro St 4020 N Roxboro St Durham NC 27704-2120 Ph: (919) 620-5333 |
| NPI Number | 1083930671 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083930671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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