Individual provider · NPI-1
Dr. Edmund J Rutherford, MD
Colon & Rectal Surgery · Raleigh, NC
NPI number1497702773
StatusActive
Last updated in NPPESApr 8, 2021
Details
- NPI
- 1497702773
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edmund J Rutherford
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2006
- Certification date
- Apr 8, 2021
- Last updated
- Apr 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 30469 | NC | Yes |
Practice location
3024 New Bern AveRaleigh, NC 27610-1247
Phone 919-350-1640 · Fax 919-350-1404
Mailing address
2920 Highwoods BlvdRaleigh, NC 27604-0010
Phone 877-498-4490
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.