Organization
PASSPORT HEALTH PC
Active
Other names
Passport Health Triangle
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH BERNOSKY M.D. (PRESIDENT)
(919) 781-0053
Entity
Organization
Contact information
Practice address
100 PARK DR, SUITE 201, RESEARCH TRIANGLE PARK, NC 27709-0165
(919) 781-0053
(919) 481-0455
Mailing address
8450 CHAPEL HILL RD, SUITE 205, CARY, NC 27513-4577
(919) 781-0053
(919) 481-0455
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
200001186
NC
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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