# PRIVATE DIAGNOSTIC CLINIC, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Duke Otolaryngology of Durham
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740436864
- **Authorized official:** MR. PAUL RAYMOND NEWMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 613-7652

## Contact information

- **Practice address:** 3116 N DUKE ST, SUITE 25A, DURHAM, NC 27704-2102
- **Practice address phone:** (919) 220-2020
- **Mailing address:** PO BOX 110566, DURHAM, NC 27709-5566
- **Mailing address phone:** (919) 620-4855
- **Mailing address fax:** (919) 620-4921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 07/11/2022