Organization
TRIANGLE E N T SERVICES ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E TAYLOR MD (PRESIDENT)
(919) 620-7800
Entity
Organization
Contact information
Practice address
4210 N ROXBORO ST, SUITE 140, DURHAM, NC 27704-1874
(919) 620-7800
(919) 620-7807
Mailing address
4210 N ROXBORO ST, SUITE 140, DURHAM, NC 27704-1874
(919) 620-7800
(919) 620-7807
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
2355A2700X
Audiology Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219V
BLUE CROSS BLUE SHIELD
NC
05
—
890219V
—
NC
Enumeration date
05/16/2006
Last updated
08/09/2010
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