Healthcare Provider Details
I. General information
NPI: 1528822574
Provider Name (Legal Business Name): TRIANGLE INTEGRATIVE PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2024
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5015 SOUTHPARK DR STE 110
DURHAM NC
27713-7736
US
IV. Provider business mailing address
5015 SOUTHPARK DR STE 110
DURHAM NC
27713-7736
US
V. Phone/Fax
- Phone: 914-552-4675
- Fax: 919-237-9379
- Phone: 919-794-8817
- Fax: 919-237-9379
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SCOTT
M
FRIEARY
Title or Position: FOUNDER/OWNER
Credential: DO
Phone: 919-794-8817