Healthcare Provider Details

I. General information

NPI: 1235491721
Provider Name (Legal Business Name): ELIZABETH NORA FOJTIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH NORA JOVANOVICH MD

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 HUFFMAN MILL RD STE 1300
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

120 WILLIAM PENN PLZ
DURHAM NC
27704-2150
US

V. Phone/Fax

Practice location:
  • Phone: 336-584-5544
  • Fax: 336-584-4436
Mailing address:
  • Phone: 919-281-1836
  • Fax: 919-313-1276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2015-00301
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: