Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist | 9501398 | NC |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 95-01398 | NC |
NPI | 1649333428 |
---|---|
Provider Name | Dr. Philip M. Rosoff |
First Address | Durham, NC 27710-0001 |
Second Address | Durham, NC 27710-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 19/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8972725 | (05) | NC |
E77811 | (02) |