Onslow Medical Specialties Clinic, PC
Internal Medicine, Pulmonary Disease in Jacksonville, NC. Organization (NPI-2).
NPI number1982958195
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1982958195
- Entity type
- Organization (NPI-2)
- Legal business name
- Onslow Medical Specialties Clinic, PC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2012
- Certification date
- Dec 18, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
| 173F00000X | Sleep Specialist, PhD | – | – |
Practice location
123 Pompano PlaceSuite 100
Jacksonville, NC 28546-5293
Phone 910-455-9398 · Fax 910-455-5407
Mailing address
123 Pompano PlaceSuite 100
Jacksonville, NC 28546-5293
Phone 910-455-9398 · Fax 910-455-5407
Authorized official
Eusebio C Desuyo
President/Ceo/Medical Director
9104679419
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Other Pulmonary Disease Physician providers in Jacksonville, NC
- Gottskalk Bjornsson, MDNPI 1376974485
- Onslow Ambulatory Services, INCNPI 1669058038
- Onslow Ambulatory Services, INC.NPI 1518207216
- Terrence P Wolanski, MDNPI 1740359082
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