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Contact Information

CMC-NORTHEAST, INC.
920 CHURCH ST N
SUITE: PEDIATRIC HOSPITALISTS
CONCORD, NC28025-2927
 Phone: 704-403-1331
 Fax: 704-403-2533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CMC NORTHEAST INC · (Female)

NPI Number 1508051715
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2007
Last updated 06/01/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5908521
  • NC Other 019NH BCBS
  • NC Other DF8926 RAILROAD MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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