Individual
WISSAM NAJIB MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
932 MORREENE RD, DURHAM, NC 27705-4410
(919) 668-2879
Mailing address
1821 HILLANDALE RD STE 25A, DURHAM, NC 27705-2671
(919) 681-3394
(919) 684-3199
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
202101638
NC
207RP1001X
Pulmonary Disease Physician
Primary
202101638
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
202101638
NC
Other
Enumeration date
05/07/2014
Last updated
11/10/2021
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