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Individual

ROBERT MORRIS TREADWAY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9501443
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1315G
BCBS NC
NC
01
41092
PARTNERS
NC
01
5322006
CIGNA
NC
05
891315G
NC
01
B6602
MEDCOST
NC
Enumeration date
08/31/2006
Last updated
12/11/2007
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