MEDICARE: DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02050	OTHER	NC	BCBS GROUP NUMBER

General Provider Information

NPI Number	:	1518995224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC

Provider Business Mailing Address
First Line	:	PO BOX 110566
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27709-5566
Country	:	US
Telephone Number	:	919-620-4855
Fax Number	:	919-620-4921

Provider Business Practice Location Address
First Line	:	5920 SANDY FORKS RD STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-3814
Country	:	US
Telephone Number	:	919-845-2125
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR FINANCE
Name	:	JENNIFER ROBERTS
Credential	:
Telephone Number	:	919-684-0439

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	08/15/2024

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