Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2006-00126 | NC |
N | 208600000X | Surgeon | 2006-00126 | NC |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2006-00126 | NC |
NPI | 1083834212 |
---|---|
Provider Name | Dr. Alden Berkeley Maier |
First Address | Charlotte, NC 28260-3949 |
Second Address | Raleigh, NC 27610-1231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2007 |
Last Update Date | 20/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083834212 | (05) | NC |