MEDICARE: ADRIAN ARYEH EPSTEIN M.D. PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	7758	NE
2	2080N0001X	Neonatal-Perinatal Medicine Physician	01094696A	IN
3	2080N0001X	Neonatal-Perinatal Medicine Physician	2019-02229	NC

General Provider Information

NPI Number	:	1063863298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN ARYEH EPSTEIN M.D. PH.D.

Provider Business Mailing Address
First Line	:	610 W MORGAN ST APT 119
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-2175
Country	:	US
Telephone Number	:	314-570-0872
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 WAYNE MEMORIAL DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-9494
Country	:	US
Telephone Number	:	314-570-0872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	06/10/2026

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