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Individual
PHILIP MARC NEUSTADT
Active
Individual
PHILIP MARC NEUSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
66-00208
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194X
NC BCBS
NC
01
—
39-08290
UHC
NC
05
—
891194X
—
NC
01
—
95754
MEDCOST
NC
Enumeration date
04/18/2006
Last updated
09/09/2011
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