MEDICARE: DR. VICTOR JOSEPH DZAU 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	207RC0000X	Cardiovascular Disease Physician		NC

General Provider Information

NPI Number	:	1831188820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR JOSEPH DZAU M.D.

Provider Business Mailing Address
First Line	:	DUKE UNIVERSITY MEDICAL CENTER
Second Line	:	106 DAVISON BLDG, BOX 3701
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-2255
Fax Number	:	919-681-7020

Provider Business Practice Location Address
First Line	:	DUKE UNIVERSITY MEDICAL CENTER
Second Line	:	106 DAVISON BLDG, BOX 3701
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-2255
Fax Number	:	919-681-7020

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	07/08/2007

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