| Gastrointestinal Healthcare Pa | |
|
2011 Falls Valley Dr Suite 106 Raleigh NC 27615-3451 | |
| (919) 881-0743 | |
| (919) 881-0822 |
| Full Name | Gastrointestinal Healthcare Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2011 Falls Valley Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Sherry B Fish (OFFICE MANAGER) |
| Authorized Official Contact | 9198810795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Healthcare Pa 2011 Falls Valley Dr Suite 106 Raleigh NC 27615-3451 Ph: (919) 881-0743 | Gastrointestinal Healthcare Pa 2011 Falls Valley Dr Suite 106 Raleigh NC 27615-3451 Ph: (919) 881-0743 |
| NPI Number | 1528015534 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 03/17/2008 |
| Medicare PECOS PAC ID | 0941244909 |
|---|---|
| Medicare Enrollment ID | O20050610000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528015534 | NPI | - | NPPES |
| 0202P | Other | NC | BLUE CROSS BLUE SHIELD |
| 790202P | Medicaid | NC | |
| DD2963 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Boris Cvetkovski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801842976 PECOS PAC ID: 5890739858 Enrollment ID: I20050610000791 |
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