Organization
MOSES CONE PHYSICIAN SERVICES, INC
Active
Organization
MOSES CONE PHYSICIAN SERVICES, INC
Active
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITAL
Other names
Alamance Vein and Vascular Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL
Authorized official
ROBERT LEE GOLDSTEIN (EXECUTVIE VICE PRESIDENT)
(336) 832-6250
Entity
Organization
Contact information
Practice address
2977 CROUSE LN, BURLINGTON, NC 27215-9480
(336) 584-4200
(336) 584-3616
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7764
(336) 832-8272
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02C36
BCBSNC
NC
05
—
1295134948
—
NC
01
—
DP9052
RAILROAD MEDICARE
NC
Enumeration date
08/19/2014
Last updated
08/03/2016
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