Individual
CRAIG SECOSAN
Active
Individual
CRAIG SECOSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0850447
UNITED HEALTHCARE
—
01
—
75174
BLUE CROSS/BLUE SHIELD
NC
05
—
8975174
—
NC
01
—
P00114787
RAILROAD MEDICARE
—
01
—
P00153158
MEDICARE RAILROAD CARRIER
NC
Enumeration date
03/21/2006
Last updated
02/28/2008
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