Individual
JEYLAN SUZAN CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3116 N DUKE ST, DURHAM, NC 27704-2102
(919) 620-5333
Mailing address
3116 N DUKE ST, DURHAM, NC 27704-2102
(919) 620-5333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-00738
NC
208000000X
Pediatrics Physician
4301110240
MI
208000000X
Pediatrics Physician
MD466940
PA
Other
Enumeration date
06/15/2016
Last updated
09/02/2022
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