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Individual

SUBODH PAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 590-8729
(910) 590-2321
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 590-8729
(910) 590-2321

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-00411
NC
208000000X
Pediatrics Physician
2007-00411
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5907285
NC
Enumeration date
05/19/2006
Last updated
08/24/2017
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