Organization Name: | TRIANGLE SURGICAL ASSOCIATES, P.A. |
NPI Number: | 1003968686 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR A MEDINA (PRESIDENT) |
Mailing Address: | 115 Crescent Commons Dr Suite 200 Cary |
State: | NC US |
Postal Code: | 275188102 |
Phone Number: | 9198515055 |
Fax Number: | 9198513065 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 01/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |