Angelique Eleni Boutzoukas, M.D.
Pediatrics, Pediatric Infectious Diseases in Durham, NC. Individual provider (NPI-1).
NPI number1669903829
StatusActive
Last updated in NPPESJul 13, 2023
Details
- NPI
- 1669903829
- Entity type
- Individual (NPI-1)
- Name
- Angelique Eleni Boutzoukas
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2017
- Certification date
- Jul 13, 2023
- Last updated
- Jul 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | 2020-01625 | NC | Yes |
Practice location
2301 Erwin RdDurham, NC 27705-4699
Phone 919-684-8111
Mailing address
300 W Morgan St Ste 772Durham, NC 27701-2162
Phone 919-684-8111
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