Individual
DR. MIRIAM MEDERO-ENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6506
(919) 782-5273
(919) 781-8853
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007-00183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908220
—
NC
Enumeration date
11/08/2005
Last updated
05/11/2021
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