Healthcare Provider Details

I. General information

NPI: 1245216266
Provider Name (Legal Business Name): ANGELA NOEL HUTZENBUHLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DUKE MEDICINE CIR # 3913
DURHAM NC
27710-4000
US

IV. Provider business mailing address

40 DUKE MEDICINE CIR # 3913
DURHAM NC
27710-4000
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-1817
  • Fax: 919-479-2664
Mailing address:
  • Phone: 919-684-1817
  • Fax: 919-479-2664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number34994
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: