Passport Health PC
NPI #1154693695 in Research Triangle Park, North Carolina
Provider Information
- NPI Number
- 1154693695
- Entity Type
- Organization
- Organization Name
- Passport Health PC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jan 30, 2012
- Last Updated
- Jan 30, 2012
Practice Location
- Address
- 100 PARK DR
- Address 2
- SUITE 201
- State
- North Carolina
- ZIP Code
- 27709-0165
- Phone
- (919) 781-0053
Authorized Official
- Name
- EDITH BERNOSKY, M.D.
- Title
- PRESIDENT
- Phone
- (919) 781-0053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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