Individual
JEFFREY G GACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN ROAD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
200200355
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
200200355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908832
—
NC
Enumeration date
03/24/2008
Last updated
06/25/2008
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