Provider Demographics
NPI:1497784490
Name:VEIN ASSOCIATES DURHAM, P.C.
Entity Type:Organization
Organization Name:VEIN ASSOCIATES DURHAM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPRCIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-405-4200
Mailing Address - Street 1:5015 SOUTHPARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7736
Mailing Address - Country:US
Mailing Address - Phone:919-405-4200
Mailing Address - Fax:919-405-4210
Practice Address - Street 1:5015 SOUTHPARK DR
Practice Address - Street 2:STE 100
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7736
Practice Address - Country:US
Practice Address - Phone:919-405-4200
Practice Address - Fax:919-405-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2234760AMedicare ID - Type Unspecified