Provider Demographics
NPI:1831204700
Name:REGIONAL GASTROENTEROLOGY ASSOCIATES PA
Entity type:Organization
Organization Name:REGIONAL GASTROENTEROLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SOLIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-479-0860
Mailing Address - Street 1:2609 N DUKE ST
Mailing Address - Street 2:STE 503
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-3019
Mailing Address - Country:US
Mailing Address - Phone:919-479-0860
Mailing Address - Fax:919-479-5503
Practice Address - Street 1:2609 N DUKE ST
Practice Address - Street 2:STE 503
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3019
Practice Address - Country:US
Practice Address - Phone:919-479-0860
Practice Address - Fax:919-479-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890287VMedicaid
NC890287VMedicaid