Provider Demographics
NPI:1982958195
Name:ONSLOW MEDICAL SPECIALTIES CLINIC, PC
Entity Type:Organization
Organization Name:ONSLOW MEDICAL SPECIALTIES CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EUSEBIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:DESUYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-467-9419
Mailing Address - Street 1:123 POMPANO PLACE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5293
Mailing Address - Country:US
Mailing Address - Phone:910-455-9398
Mailing Address - Fax:910-455-5407
Practice Address - Street 1:123 POMPANO PLACE
Practice Address - Street 2:SUITE 100
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5293
Practice Address - Country:US
Practice Address - Phone:910-455-9398
Practice Address - Fax:910-455-5407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Multi-Specialty