Individual
FERNANDO R PUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRINGFIELD COMMONS DR, SUITE 115, RALEIGH, NC 27609-8533
(919) 876-3656
(919) 876-2351
Mailing address
800 SPRINGFIELD COMMONS DR, SUITE 115, RALEIGH, NC 27609-8533
(919) 876-3656
(919) 876-2351
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
39984
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
39984
NC
Other
Enumeration date
12/19/2005
Last updated
10/05/2020
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