TARA KOPP BASTEK

RALEIGH, NC
NPI1316956774
Former NameTARA KOPP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: NC  9900162)
Additional Taxonomies208000000X Pediatrics
(Licence: NC  9900162)
Enumeration Date2006-08-05
Last Update Date2010-03-12
Business Address
Dr. TARA KOPP BASTEK M.D.
3000 NEW BERN AVE NEONATOLOGY DEPT.
RALEIGH, NC 27610-1231
Phone number: 919-350-8545
Mailing Address
Dr. TARA KOPP BASTEK M.D.
3024 NEW BERN AVE SUITE 300
RALEIGH, NC 27610-1247
Phone number: 919-350-8228