Organization
DAVID M FAJGENBAUM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M FAJGENBAUM M.D. (PHYSICIAN)
(919) 872-5296
Entity
Organization
Contact information
Practice address
3410 EXECUTIVE DR, SUITE #103, RALEIGH, NC 27609-7457
(919) 872-5296
(919) 850-9718
Mailing address
3410 EXECUTIVE DR, SUITE #103, RALEIGH, NC 27609-7457
(919) 872-5296
(919) 850-9718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24065
NC
Other
Enumeration date
02/22/2008
Last updated
11/08/2012
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