Oak Island Pediatrics, P.a.

NPI 1205815685 - Counselor - 101Y00000X

NPI Details
NPI 1205815685
Enumeration Date 01/12/2006
Last Updated 11/20/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JUGTA JUGTA
Position PRESIDENT
Phone (910) 457-0070
Fax (910) 457-0062
Practice Location
4734 LONG BEACH RD SE
SOUTHPORT NC, 28461-8721, US
Phone (910) 457-0070
Fax (910) 457-0062
Business Location
4734 LONG BEACH RD SE
SOUTHPORT NC, 28461-8721, US
Phone (910) 457-0070
Fax (910) 457-0062
Toxanomy
Taxonomy Code 101Y00000X
License State North Carolina
License Number 4773
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According to our database, Oak Island Pediatrics, P.a. NPI is 1205815685, taxonomy code is 101Y00000X and license number is 4773, license state is located at North Carolina. Oak Island Pediatrics, P.a. physically located at 4734 Long Beach Rd Se, Southport NC, 28461-8721. NPI Number 1033115704 has the healthcare provider type.

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1205815685 NPI number is provided on an as is basis without warranty of any kind. 1205815685 is maintained by the National Plan & Provider Enumeration System. The contents of Oak Island Pediatrics, P.a. are for informational purposes only.