Individual
DANIEL SEOYJONG OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL STE 102, RALEIGH, NC 27607-7505
(919) 784-3018
Mailing address
PO BOX 8423, NEWCO CANCER SERVICES, GREENVILLE, NC 27835-8423
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2013-00093
NC
390200000X
Student in an Organized Health Care Education/Training Program
149806
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179X4
BCBS NC
NC
05
—
1821258765
—
NC
Enumeration date
06/13/2008
Last updated
12/23/2019
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