Organization
RALEIGH CHILDREN & ADOLESCENTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOHN SENA MD (VICE PRESIDENT)
(919) 781-7490
Entity
Organization
Contact information
Practice address
3100 DURALEIGH RD, SUITE 300, RALEIGH, NC 27612-8106
(919) 781-7490
(919) 783-0903
Mailing address
3100 DURALEIGH RD, SUITE 300, RALEIGH, NC 27612-8106
(919) 781-7490
(919) 783-0903
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7901542
BCBS
NC
05
—
7901542
—
NC
Enumeration date
06/30/2006
Last updated
12/11/2015
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