Organization
SUNRISE PEDIATRIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH MURNANE MD (DOCTOR)
(919) 788-0505
Entity
Organization
Contact information
Practice address
3909 SUNSET RIDGE RD, SUITE 103, RALEIGH, NC 27607-6667
(919) 788-0505
(919) 788-0519
Mailing address
3909 SUNSET RIDGE RD, SUITE 103, RALEIGH, NC 27607-6667
(919) 788-0505
(919) 788-0519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011FC
BLUE CROSS BLUE SHIELD
NC
05
—
89011FC
—
NC
Enumeration date
07/30/2006
Last updated
05/13/2008
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