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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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