Individual
DR. THOMAS JOHN VAN DE VEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, PHD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
142001
NC
Other
Enumeration date
05/14/2008
Last updated
07/25/2011
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