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Individual
DELL ANDREW DEMBOSKY
Active
Individual
DELL ANDREW DEMBOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
14834
SC
207ZP0101X
Anatomic Pathology Physician
38927
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
14834
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
38927
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120X
BCBS
NC
05
—
890120X
—
NC
01
—
DF3784
RR MEDICARE
SC
05
—
GP0789
—
SC
05
—
GP2142
—
SC
05
—
GP3595
—
SC
Enumeration date
12/19/2005
Last updated
07/01/2016
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