Individual
MANUEL EDWARDO CANTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3916 BEN FRANKLIN BLVD, DURHAM, NC 27704-2383
(919) 956-9300
(919) 287-1600
Mailing address
5012 BOULDER CREEK LN, RALEIGH, NC 27613-6074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-02990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407054976
—
NC
05
—
232625
—
AZ
Enumeration date
07/06/2007
Last updated
05/02/2025
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