Organization
TRIANGLE PRIMARY CARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOFI BRUCE MENSAH (MD)
(919) 554-0900
Entity
Organization
Contact information
Practice address
851 DURHAM RD, SUITE D, WAKE FOREST, NC 27587-8793
(919) 554-0900
(336) 784-1116
Mailing address
851 DURHAM RD, SUITE D, WAKE FOREST, NC 27587-8793
(919) 554-0900
(336) 784-1116
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
108082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2333540
MEDICARE GROUP
—
05
—
89013JE
—
NC
01
—
DD7390
RR MEDICARE
NC
Enumeration date
04/13/2006
Last updated
09/13/2010
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