# JOSEPH D SPATARO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Idlewild Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932398294
- **Authorized official:** DR. JOSEPH DAVID SPATARO MD (OWNER)
- **Authorized official phone:** (704) 531-0990

## Contact information

- **Practice address:** 6101 IDLEWILD RD, SUITE 300, CHARLOTTE, NC 28212-0517
- **Practice address phone:** (704) 531-0990
- **Practice address fax:** (704) 531-0464
- **Mailing address:** 6101 IDLEWILD RD, SUITE 300, CHARLOTTE, NC 28212-0517
- **Mailing address phone:** (704) 531-0990
- **Mailing address fax:** (704) 531-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NC | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 10/23/2007