MEDICARE: UNC PHYSICIANS NETWORK LLC

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician		NC

General Provider Information

NPI Number	:	1811312192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNC PHYSICIANS NETWORK LLC

Provider Business Mailing Address
First Line	:	1600 PERIMETER PARK DR
Second Line	:	SUITE 225
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6013 FARRINGTON RD
Second Line	:	SUITE 101
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-8172
Country	:	US
Telephone Number	:	919-957-6610
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ROBERT LOUIS GIANFORCARO
Credential	:	DO
Telephone Number	:	919-804-5064

Provider Enumeration Date	:	02/24/2014
Last Update Date	:	02/25/2014

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