Michael Charles Fajgenbaum
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
3410 Executive Dr Suite 103
Raleigh
, North Carolina 27609-7450
Michael Charles Fajgenbaum
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
3410 Executive Dr Suite 103
Raleigh
, North Carolina 27609-7450
(919) 850-9718
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Michael Charles Fajgenbaum
- 3410 Executive Dr Suite 103
- Raleigh, NC
- Zip : 27609-7450
- Fax : (919) 850-9718
- Phone : (919) 872-5296
Second Address
- Michael Charles Fajgenbaum
- 3410 Executive Dr Suite 103
- Raleigh, NC
- Zip : 27609-7450
- Fax : (919) 850-9718
- Phone : (919) 872-5296
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 32359 | NC |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 32359 | NC |
National Provider Identifier
| NPI | 1114998127 |
|---|---|
| Provider Name | Michael Charles Fajgenbaum |
| First Address | Raleigh, NC 27609-7450 |
| Second Address | Raleigh, NC 27609-7450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2006 |
| Last Update Date | 11/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8931094 | (05) | NC |
| C82351 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.