Provider Demographics
NPI:1083905335
Name:DUKE UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:DUKE UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-668-0869
Mailing Address - Street 1:10 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-5132
Mailing Address - Country:US
Mailing Address - Phone:914-980-7462
Mailing Address - Fax:
Practice Address - Street 1:10 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-5132
Practice Address - Country:US
Practice Address - Phone:914-980-7462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No283Q00000XHospitalsPsychiatric Hospital