Organization
DUKE HOSPITAL OUTPATIENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE JELESOFF (MD)
(919) 668-1219
Entity
Organization
Contact information
Practice address
30 MEDICINE CIR, DURHAM, NC 27710-0001
(919) 668-1219
Mailing address
11726 BROADFIELD CT, RALEIGH, NC 27617-4254
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5005980
NC
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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