Organization
BROAD HEALTH OF NC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILDRED SANTORUFO DO (OWNER)
(706) 455-2406
Entity
Organization
Contact information
Practice address
2626 GLENWOOD AVE STE 550, RALEIGH, NC 27608-1370
(706) 455-2406
Mailing address
154 W 16TH ST # 6-110, NEW YORK, NY 10011-6201
(617) 513-4838
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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