MEDICARE: JOHN JOSEPH VILLANI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	2004-01594	NC

General Provider Information

NPI Number	:	1164506036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN JOSEPH VILLANI

Provider Business Mailing Address
First Line	:	2100 ERWIN RD
Second Line	:	DUKE UNIVERSITY MEDICAL CENTER - DUMC 3869
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 ERWIN RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-620-4467
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	06/01/2026

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Directions to “ JOHN JOSEPH VILLANI ” Practice Location

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