Organization
RALEIGH DERMATOLOGY ASSOCIATES PA
Active
Organization
RALEIGH DERMATOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO R PUENTE MD (OWNER)
(919) 876-3656
Entity
Organization
Contact information
Practice address
800 SPRINGFIELD COMMONS DR, SUITE 115, RALEIGH, NC 27609-8533
(919) 876-3656
(919) 876-2351
Mailing address
800 SPRINGFIELD COMMONS DR, SUITE 115, RALEIGH, NC 27609-8533
(919) 876-3656
(919) 876-2351
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
11/07/2011
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