Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 27166 | NC |
Y | 111NI0900X | Internist | 27166 | NC |
N | 207RI0200X | Infectious Disease | 200899 | NY |
NPI | 1003846411 |
---|---|
Provider Name | Mary E Klotman |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27710-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 27/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D33147 | (02) |