Organization
CRESCENT FAMILY PRACTICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WALTER BRUCKERT M.D. (PRESIDENT)
(919) 851-7867
Entity
Organization
Contact information
Practice address
1110 S.E. CARY PARKWAY, STE 203, CARY, NC 27518-7420
(919) 851-7867
(919) 851-7866
Mailing address
1110 S.E. CARY PARKWAY, STE 203, CARY, NC 27518-7420
(919) 851-7867
(919) 851-7866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0039359
NC
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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