Healthcare Provider Details

I. General information

NPI: 1245294206
Provider Name (Legal Business Name): CRISTINE RADOJICIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/04/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 CROOKED CREEK PKWY STE 400
DURHAM NC
27713-8507
US

IV. Provider business mailing address

234 CROOKED CREEK PKWY STE 400
DURHAM NC
27713-8507
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-3000
  • Fax: 919-576-8822
Mailing address:
  • Phone: 919-385-3000
  • Fax: 919-576-8822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35073432R
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: