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NPI Code Detail

MEDICARE: DR. ERIC MARTIN BUENVIAJE M.D.

MEDICARE: DR. ERIC MARTIN BUENVIAJE 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 Physician0101235137VA
2207Q00000XFamily Medicine Physician2012-01204NC

General Provider Information

NPI Number : 1831169291
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC MARTIN BUENVIAJE M.D.
Provider Business Mailing Address
First Line : 1490 WILLIAMSBORO ST
Second Line :
City : OXFORD
State : NC
Zip : 27565-3498
Country : US
Telephone Number : 919-693-3972
Fax Number :
Provider Business Practice Location Address
First Line : 1490 WILLIAMSBORO ST
Second Line :
City : OXFORD
State : NC
Zip : 27565-3498
Country : US
Telephone Number : 919-693-3972
Fax Number : 919-693-1700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 03/20/2026

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