Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2018-02893 | NC |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2018-02893 | NC |
NPI | 1033503131 |
---|---|
Provider Name | Jerome Federspiel |
First Address | Durham, NC 27705-4597 |
Second Address | Durham, NC 27705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 23/10/2019 |