Individual
DR. MANUEL EVANGELOS BULAUITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1964 S MAIN ST, WAKE FOREST, NC 27587
(919) 554-0177
Mailing address
10900 WORLD TRADE BLVD, RALEIGH, NC 27617-4202
(919) 237-1337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17549
NH
207Q00000X
Family Medicine Physician
2019-01401
NC
Other
Enumeration date
08/07/2011
Last updated
05/28/2019
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