Provider Demographics
NPI:1720445513
Name:GPD CONSULTING
Entity Type:Organization
Organization Name:GPD CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G.
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:DEROSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-414-2043
Mailing Address - Street 1:1124 STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-9779
Mailing Address - Country:US
Mailing Address - Phone:919-414-2043
Mailing Address - Fax:
Practice Address - Street 1:1124 STONEBRIDGE DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-9779
Practice Address - Country:US
Practice Address - Phone:919-414-2043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500553207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty