Organization
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Active
Parent organization
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Authorized official
MARK W JALKUT M.D. (PRESIDENT)
(919) 782-1255
Entity
Organization
Contact information
Practice address
2800 BLUE RIDGE ROAD, SUITE 405, RALEIGH, NC 27607-6476
(919) 851-5482
(919) 881-0752
Mailing address
2801 BLUE RIDGE RD, SUITE 110, RALEIGH, NC 27607-6474
(919) 758-8677
(919) 758-8723
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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