Organization
GLIOBLASTOMA FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GITA KWATRA PHARMAD, MBA (CEO)
(919) 740-1173
Entity
Organization
Contact information
Practice address
701 W MAIN ST, DURHAM, NC 27701-5010
(919) 812-5416
Mailing address
PO BOX 62066, DURHAM, NC 27715-2066
(919) 402-1775
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/27/2025
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