Organization
NORTH HILLS INTERNAL MEDICINE, PA
Active
Organization
NORTH HILLS INTERNAL MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T MARUCHECK M.D. (PRESIDENT)
(919) 855-8911
Entity
Organization
Contact information
Practice address
3320 WAKE FOREST RD, SUITE 310, RALEIGH, NC 27609-7300
(919) 855-8911
(919) 855-9424
Mailing address
3320 WAKE FOREST RD, SUITE 310, RALEIGH, NC 27609-7300
(919) 855-8911
(919) 855-9424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02440
BLUE CROSS BLUE SHIELD NC
NC
05
—
7902440
—
NC
01
—
CL6182
RAILROAD MEDICARE
NC
Enumeration date
05/01/2006
Last updated
08/22/2020
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