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Organization

EAST CAROLINA UNIVERSITY

Active
Other names
ECU Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS H. BENSON M.D. (MEDICAL DIRECTOR)
(252) 744-3253
Entity
Organization

Contact information

Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2128
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
207ZD0900X
Dermatopathology (Pathology) Physician
207ZF0201X
Forensic Pathology Physician
207ZI0100X
Immunopathology Physician
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
207ZP0101X
Anatomic Pathology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
207ZP0104X
Chemical Pathology Physician
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
207ZP0213X
Pediatric Pathology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8900490
NC
Enumeration date
05/10/2006
Last updated
03/13/2009
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