NPI 1003979063

Jeff Lawrence Kantor, MD

Practitioner Pediatric Gastroenterology Physician Raleigh, NC

Practice location

Address: 23 Sunnybrook Rd, Raleigh, NC 27610-1855
Phone: (919) 235-6435
Mailing address: 2920 Highwoods Blvd, Raleigh, NC 27604-0010

Registered specialties (2)

Pediatric Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0206X Licence 2018-01805 (NC)

Other Pediatrics providers in North Carolina →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2006026942 (MO)

Registry record

NPI: 1003979063
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2006
Record last updated: 2 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.