Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 35797 | NC |
NPI | 1275506909 |
---|---|
Provider Name | Dr. James Zechman |
First Address | New Bern, NC 28562-3331 |
Second Address | New Bern, NC 28562-3331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7989874 | (05) | NC |
F54260 | (02) | NC |