Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2017-01236 | NC |
NPI | 1033310701 |
---|---|
Provider Name | Dr. Alexandra Stefanovic |
First Address | Durham, NC 27705-3976 |
Second Address | Durham, NC 27705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 16/09/2019 |