Healthcare Provider Details
I. General information
NPI: 1497955728
Provider Name (Legal Business Name): BARBARA ZAREBCZAN DULL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/24/2007
Last Update Date: 02/06/2023
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3100 DURALEIGH RD
RALEIGH NC
27612-8106
US
IV. Provider business mailing address
3100 DURALEIGH RD STE 205
RALEIGH NC
27612-8105
US
V. Phone/Fax
- Phone: 919-784-7874
- Fax: 919-784-2367
- Phone: 919-784-7874
- Fax: 919-784-2367
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086X0206X |
| Taxonomy | Surgical Oncology Physician |
| License Number | 2014015414 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 2015-00898 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: