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Individual

DR. GENTIANA BAKAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
521 MOYE BLVD FL 2, ECU PHYSICIANS INTERNAL MEDICINE, GREENVILLE, NC 27834-2849
(252) 744-3229
(252) 744-3924
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201001450
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
159WC
BCBSNC
NC
05
5915605
NC
01
P00917655
MEDICARE RAILROAD
NC
Enumeration date
06/13/2007
Last updated
10/26/2011
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