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Organization
ALBERT A VERRILLI MD,PA
Active
Organization
ALBERT A VERRILLI MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT ALEXANDER VERRILLI III M.D. (PRESIDENT)
(910) 590-3397
Entity
Organization
Contact information
Practice address
603 BEAMAN ST, CLINTON, NC 28328-2650
(910) 590-3397
(910) 592-1334
Mailing address
603 BEAMAN ST, CLINTON, NC 28328-2650
(910) 590-3397
(910) 592-1334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7985058
—
NC
Enumeration date
11/12/2006
Last updated
06/30/2008
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