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Organization

PARK OPHTHALMOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETH R FRIEDLAND M.D. (MEDICAL DIRECTOR)
(919) 544-5375
Entity
Organization

Contact information

Practice address
5306 NC HIGHWAY 55, SUITE 102, DURHAM, NC 27713-7812
(919) 544-5375
(919) 544-5829
Mailing address
5306 NC HIGHWAY 55, SUITE 102, DURHAM, NC 27713-7812
(919) 544-5375
(919) 544-5829

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27794
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8933924
NC
Enumeration date
12/06/2007
Last updated
12/06/2007
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