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Organization

CRYSTAL COAST FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAS M CADER M.D. (PRESIDENT)
(252) 726-8414
Entity
Organization

Contact information

Practice address
505 N 35TH ST, MOREHEAD CITY, NC 28557-3120
(252) 726-8414
Mailing address
505 N 35TH ST, MOREHEAD CITY, NC 28557-3120
(252) 726-8414

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0279A
BCBS GROUP NUMBER
NC
05
890279A
NC
01
CA5933
RAILROAD MEDICARE GROUP
NC
Enumeration date
07/12/2006
Last updated
04/17/2026
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