Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Children's Specialty Services
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R NEWMAN (EXECUTIVE DIRECTOR, PDC)
(919) 613-7652
Entity
Organization
Contact information
Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 862-5750
(919) 862-5755
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
03/09/2010
Last updated
05/18/2022
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