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Contact Information

ROGER F ANDERSON JR, MD
11200 GOVERNOR MANLY WAY
SUITE 102
RALEIGH, NC27614-8595
 Phone: 919-570-7550
 Fax: 919-570-7551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for ROGER F ANDERSON JR · (Male)

NPI Number 1528096591
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 03/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 39233
  • SC License # 30738
  • NC Medicaid 8911256
  • SC Medicaid N39233
  • NC Other 11256 BLUE CROSS/BLUE SHIELD
  • NC Other 1528096591 PARTNERS MEDICARE
  • NC Other P00472369 RAILROAD MEDICARE
Hospital affiliation(s)
  • REX HOSPITAL - (Acute Care)
    4420 LAKE BOONE TRAIL
    RALEIGH, NC 27607
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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