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Individual

DR. JUAN GILBERTO HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-5318
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2021-00026
NC
207RG0100X
Gastroenterology Physician
ME74020
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841282118
NC
Enumeration date
08/22/2005
Last updated
10/16/2023
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