Organization · Type 2 NPI

Private Diagnostic Clinic, PLLC

Pediatric Cardiology Physician · Cary, NC

NPI number 1487903423 Active

Practice location

540 New Waverly Place, STE.101
Cary, NC 27518-7422

Call (919) 684-8111 Map

Mailing address

PO Box 110566
Durham, NC 27709-5566

Specialties and licenses

Taxonomy	Code	License
Pediatric Cardiology Physician Primary	2080P0202X	None listed

Pediatric Cardiology Physician: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

NPI record

NPI: 1487903423
Entity type: Organization (Type 2)
Issued: Sep 6, 2012
Last updated: Jul 11, 2022
Status: Active

Other names

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Duke Children's Cardiology of Cary · doing business as
Duke Children's Cardiology of Cary · 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 1487903423

Private Diagnostic Clinic, PLLC's National Provider Identifier is 1487903423, issued on Sep 6, 2012. The primary taxonomy on file is Pediatric Cardiology Physician (2080P0202X), and the practice location is in Cary, NC. The record was last updated on Jul 11, 2022.