Individual
MICHAEL GERRARD DELISSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 CRESCENT GREEN DR, SUITE 102, CARY, NC 27518
(919) 816-4948
(919) 233-7685
Mailing address
1000 CRESCENT GREEN DR, SUITE 102, CARY, NC 27518
(919) 816-4948
(919) 233-7685
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7928291
—
NC
Enumeration date
10/11/2006
Last updated
12/07/2011
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