Provider Demographics
NPI:1154559011
Name:NOTARO, MARY CATHERINE (DO)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CATHERINE
Last Name:NOTARO
Suffix:
Gender:
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1000 CENTRE GREEN WAY STE 270
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2282
Mailing Address - Country:US
Mailing Address - Phone:984-333-2741
Mailing Address - Fax:919-378-2210
Practice Address - Street 1:1021 DARRINGTON DR STE 101
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8158
Practice Address - Country:US
Practice Address - Phone:919-852-3999
Practice Address - Fax:919-378-9114
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2012-01088207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1154559011Medicaid
NC5920811Medicaid
NCNC7158AMedicare PIN