Provider Demographics
NPI:1982620548
Name:RESEARCH TRIANGLE OCCUPATIONAL HEALTH SERVICES, PA
Entity type:Organization
Organization Name:RESEARCH TRIANGLE OCCUPATIONAL HEALTH SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:F
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-226-0386
Mailing Address - Street 1:3200 CROASDAILE DR
Mailing Address - Street 2:SUITE 405
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2586
Mailing Address - Country:US
Mailing Address - Phone:919-226-0386
Mailing Address - Fax:919-226-0390
Practice Address - Street 1:3200 CROASDAILE DR
Practice Address - Street 2:SUITE 405
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2586
Practice Address - Country:US
Practice Address - Phone:919-226-0386
Practice Address - Fax:919-226-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC79-0205EMedicaid
NC2316792Medicare PIN