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Organization

TAYLOR RETINA CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NITIN GUPTA M.D. (PRESIDENT)
(919) 878-4060
Entity
Organization

Contact information

Practice address
1101 DRESSER CT, RALEIGH, NC 27609-7327
(919) 878-4060
(919) 256-0499
Mailing address
1101 DRESSER CT, RALEIGH, NC 27609-7327
(919) 878-4060
(919) 256-0499

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27322
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5950543
NC
Enumeration date
04/09/2008
Last updated
03/25/2024
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