Organization
CENTRAL CAROLINA CARDIOVASCULAR & THORACIC SURGICAL ASSOCIATES PA
Active
Organization
CENTRAL CAROLINA CARDIOVASCULAR & THORACIC SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H MARCICANO MD (PRESIDENT)
(919) 479-4188
Entity
Organization
Contact information
Practice address
3901 N ROXBORO ST, SUITE 101, DURHAM, NC 27704-2181
(919) 479-4188
(919) 479-4204
Mailing address
3901 N ROXBORO ST, SUITE 101, DURHAM, NC 27704-2181
(919) 479-4188
(919) 479-4204
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121N
BCBS
NC
05
—
89012N
—
NC
Enumeration date
04/27/2006
Last updated
08/22/2020
Update your record
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