Individual
CHARLES J VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3480 WAKE FOREST RD, STE 506, RALEIGH, NC 27609-7376
(919) 862-5600
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
044379
CT
208800000X
Urology Physician
Primary
2011-00406
NC
Other
Enumeration date
07/09/2006
Last updated
05/08/2012
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