Provider Demographics
NPI:1316115165
Name:BARUIZ-WASHABAUGH, CLEOTHE (MD)
Entity type:Individual
Prefix:
First Name:CLEOTHE
Middle Name:
Last Name:BARUIZ-WASHABAUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLEO
Other - Middle Name:
Other - Last Name:BARUIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2424 SW CARY PKWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-5318
Mailing Address - Country:US
Mailing Address - Phone:919-467-3275
Mailing Address - Fax:919-467-9285
Practice Address - Street 1:2424 SW CARY PKWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5318
Practice Address - Country:US
Practice Address - Phone:919-467-3275
Practice Address - Fax:919-467-9285
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33938207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine