Provider Demographics
NPI:1396836441
Name:CUFFE, ROWENA DOLOR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROWENA
Middle Name:DOLOR
Last Name:CUFFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROWENA
Other - Middle Name:JOY
Other - Last Name:DOLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:508 FULTON ST
Mailing Address - Street 2:DURHAM VAMC (11-C)
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3875
Mailing Address - Country:US
Mailing Address - Phone:919-286-0411
Mailing Address - Fax:919-416-5881
Practice Address - Street 1:508 FULTON ST
Practice Address - Street 2:DURHAM VAMC (11-C)
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:919-416-5881
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9300085207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G20283Medicare UPIN