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Individual

ANTHONY JOHN DEFRANZO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4171
(336) 716-8759
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25128
NC
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
25128
NC
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
25128
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22903
MEDCOST
01
28274
BCBS OF NC
01
2956
PARTNERS
05
8928274
NC
Enumeration date
12/13/2005
Last updated
12/06/2021
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