Provider Demographics
NPI:1427872548
Name:RALEIGH EMERGENCY SURGICAL, INC
Entity type:Organization
Organization Name:RALEIGH EMERGENCY SURGICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:561-628-7115
Mailing Address - Street 1:1303 CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-1901
Mailing Address - Country:US
Mailing Address - Phone:919-414-7284
Mailing Address - Fax:
Practice Address - Street 1:7930 SKYLAND RIDGE PKWY STE 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-6813
Practice Address - Country:US
Practice Address - Phone:919-881-8295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty