Provider Demographics
NPI:1174547731
Name:CENTRAL INTERNAL MEDICINE, P.A.
Entity type:Organization
Organization Name:CENTRAL INTERNAL MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BERGLUND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-477-7773
Mailing Address - Street 1:4315 BEN FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2145
Mailing Address - Country:US
Mailing Address - Phone:919-477-7773
Mailing Address - Fax:919-477-7375
Practice Address - Street 1:4315 BEN FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2145
Practice Address - Country:US
Practice Address - Phone:919-477-7773
Practice Address - Fax:919-477-7375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty