Organization · NPI-2

Birth Tissue Recovery

Eye Bank · Winston Salem, NC

NPI number1326495169
StatusActive
Last updated in NPPESMay 23, 2016

Details

NPI
1326495169
Entity type
Organization (NPI-2)
Legal business name
Birth Tissue Recovery
Organization subpart
No
Enumeration date
May 23, 2016
Last updated
May 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332G00000X Eye Bank––Yes

Practice location

751 Bethesda Rd
Suite D
Winston Salem, NC 27103-3300

Phone 336-448-1910 · Fax 336-448-1911

Mailing address

751 Bethesda Rd
Suite D
Winston Salem, NC 27103-3300

Phone 336-448-1910 · Fax 336-448-1911

Authorized official

Kurt R. Weber
President/Ceo
3367050250

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