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NPI Code Detail

MEDICARE: ELISABETH NADLER M.D.

MEDICARE: ELISABETH NADLER M.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
1207Q00000XFamily Medicine Physician37912NC

General Provider Information

NPI Number : 1487738373
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH NADLER M.D.
Provider Business Mailing Address
First Line : 6020 FAYETTEVILLE RD
Second Line : TRIANGLE FAMILY PRACTICE
City : DURHAM
State : NC
Zip : 27713-9754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6020 FAYETTEVILLE RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-9754
Country : US
Telephone Number : 919-620-4467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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