Organization · Type 2 NPI

Private Diagnostic Clinic, PLLC

Allergy & Immunology (Internal Medicine) Physician · Durham, NC

NPI number 1255364329 Active

Practice location

2609 N Duke St, Suite 504
Durham, NC 27704-3048

Call (919) 684-8111 Map

Mailing address

PO Box 110566
Durham, NC 27709-5566

Specialties and licenses

Taxonomy	Code	License
Allergy & Immunology (Internal Medicine) Physician Primary	207RA0201X	None listed
Critical Care Medicine (Internal Medicine) Physician	207RC0200X	None listed
Pulmonary Disease Physician	207RP1001X	None listed

Allergy & Immunology (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

59 other providers at this address

NPI record

NPI: 1255364329
Entity type: Organization (Type 2)
Issued: Jul 9, 2006
Last updated: May 15, 2022
Status: Active

Other names

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Duke Pulmonary, Allergy & Critical Care Medicine · doing business as
Duke Pulmonary, Allergy & Critical Care Medicine · doing business as

Authorized official

Christopher Thomas Frederick
CFO
(919) 613-7762

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255364329

Private Diagnostic Clinic, PLLC's National Provider Identifier is 1255364329, issued on Jul 9, 2006. The primary taxonomy on file is Allergy & Immunology (Internal Medicine) Physician (207RA0201X), and the practice location is in Durham, NC. The record was last updated on May 15, 2022.