Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 2014-00636 | NC |
N | 2080P0216X | Pediatric Rheumatologist | 2014-00636 | NC |
NPI | 1437475100 |
---|---|
Provider Name | Dr. Rebecca Eli Sadun |
First Address | San Marino, CA 91108-2610 |
Second Address | Durham, NC 27710-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2010 |
Last Update Date | 05/10/2021 |