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Organization

ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA

Active
Parent organization
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Authorized official
MARK W JALKUT M.D. (PRESIDENT)
(919) 782-1255
Entity
Organization

Contact information

Practice address
3200 BLUE RIDGE ROAD, SUITE 118, RALEIGH, NC 27612-8087
(919) 571-4399
(919) 571-7627
Mailing address
2801 BLUE RIDGE RD, SUITE 110, RALEIGH, NC 27607-6474
(919) 758-8677
(919) 758-8723

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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