Individual
ERIC M TUPIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3100 DURALEIGH RD STE 100, RALEIGH, NC 27612-8105
(919) 788-8797
(919) 313-1276
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06022
NC
363A00000X
Physician Assistant
PA9108044
FL
363AM0700X
Medical Physician Assistant
COOO2786
MD
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/31/2005
Last updated
12/08/2015
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