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Individual

DR. SIDNEY MALOCH GOSPE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-9191
(919) 681-3937
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(800) 782-6945

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251633
MA
207W00000X
Ophthalmology Physician
Primary
2016-00381
NC

Other

Enumeration date
06/20/2012
Last updated
05/02/2016
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