MEDICARE: HENRY A UNGER 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
1	208800000X	Urology Physician	20758	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770551699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY A UNGER M.D.

Provider Business Mailing Address
First Line	:	117 SUNNYBROOK RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-1827
Country	:	US
Telephone Number	:	919-250-9109
Fax Number	:	919-250-9280

Provider Business Practice Location Address
First Line	:	117 SUNNYBROOK RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-1827
Country	:	US
Telephone Number	:	919-250-9109
Fax Number	:	919-250-9280

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	04/23/2013

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