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Organization

WAKE SPECIALTY PHYSICIANS LLC

Active
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Organization

WAKE SPECIALTY PHYSICIANS LLC

Active
Other names
WakeMed Heart & Vascular Physicians Structural Heart
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA JAYOUSSI (EXECUTIVE DIRECTOR FINANCE)
(919) 350-6089
Entity
Organization

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-6333
(919) 231-6334
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0552
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—

Other

Enumeration date
02/23/2015
Last updated
09/24/2015
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