Organization
MICHAEL C FAJGENBAUM, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C FAJGENBAUM MD (OWNER)
(919) 872-5296
Entity
Organization
Contact information
Practice address
3410 EXECUTIVE DR, SUITE 103, RALEIGH, NC 27609-7450
(919) 872-5296
(919) 850-9718
Mailing address
3410 EXECUTIVE DR, SUITE 103, RALEIGH, NC 27609-7450
(919) 872-5296
(919) 850-9718
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32359
NC
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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