Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD100941 | FL |
Y | 2080P0214X | Pediatric Pulmonologist | 2011-00847 | NC |
N | 2080P0214X | Pediatric Pulmonologist | ME100941 | FL |
NPI | 1073791604 |
---|---|
Provider Name | Dr. Jeffrey S Loeb |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27705-3941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2008 |
Last Update Date | 26/11/2012 |