MEDICARE: DR. MARK YOFFE M.D.

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	207RH0003X	Hematology & Oncology Physician	26421	NC

General Provider Information

NPI Number	:	1770523227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK YOFFE M.D.

Provider Business Mailing Address
First Line	:	2605 BLUE RIDGE RD STE 190
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6475
Country	:	US
Telephone Number	:	919-784-6060
Fax Number	:

Provider Business Practice Location Address
First Line	:	2605 BLUE RIDGE RD STE 190
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6475
Country	:	US
Telephone Number	:	919-784-6060
Fax Number	:

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	04/28/2021

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