Organization
WAKEMED FACULTY PRACTICE PLAN
Active
Other names
WakeMed Faculty Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL I CINOMAN M.D. (VP, WAKEMED FACULTY PHYSICIANS)
(919) 350-8228
Entity
Organization
Contact information
Practice address
3024 NEW BERN AVE, SUITE 300, RALEIGH, NC 27610-1247
(919) 350-8228
(919) 350-7976
Mailing address
3024 NEW BERN AVE, SUITE 300, RALEIGH, NC 27610-1247
(919) 350-8228
(919) 350-7976
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8903076
—
NC
Enumeration date
05/26/2006
Last updated
01/09/2009
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