Organization · Type 2 NPI

Personalized Hematology-Oncology of Wake Forest PLLC

Hematology & Oncology Physician · Wake Forest, NC

NPI number 1053679944 Active

Practice location

11635 North Park Drive
Wake Forest, NC 27587-6298

Fax (919) 435-1060

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X200400833 (NC)
Hematology & Oncology Physician Primary 207RH0003X200400833 (NC)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Another provider at this address

About NPI 1053679944

Personalized Hematology-Oncology of Wake Forest PLLC's National Provider Identifier is 1053679944, issued on Apr 27, 2012. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Wake Forest, NC. The record was last updated on Jul 5, 2012.