Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 31435 | NC |
NPI | 1154349181 |
---|---|
Provider Name | Andrew Berchuck |
First Address | Charlotte, NC 28263-3362 |
Second Address | Durham, NC 27710-2000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 28/05/2013 |