Individual
ROBERT D ORNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3320
(919) 783-0737
Mailing address
PO BOX 16098, CHAPEL HILL, NC 27516-6098
(919) 967-6646
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
19872
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64253
BLUE CROSS/BLUE SHIELD
NC
05
—
8964253
—
NC
Enumeration date
06/29/2006
Last updated
10/21/2009
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