Organization
PEDIATRIC NEUROLOGY OF NORTH CAROLINA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAY JAFFE MD (OWNER)
(919) 380-3092
Entity
Organization
Contact information
Practice address
206 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 380-3092
(206) 339-7662
Mailing address
206 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 380-3092
(206) 339-7662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
87482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126JJ
—
NC
Enumeration date
01/27/2010
Last updated
01/27/2010
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