Individual
GARY JOSEPH DEFILIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20711
SC
2085R0202X
Diagnostic Radiology Physician
Primary
31976
NC
2085R0204X
Vascular & Interventional Radiology Physician
20711
SC
2085R0204X
Vascular & Interventional Radiology Physician
31976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8928373
—
NC
Enumeration date
06/17/2005
Last updated
04/08/2018
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