Individual
DR. MARIO ERNEST SERAFINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1000
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
03200052067
VT
207L00000X
Anesthesiology Physician
1438
WV
207LP2900X
Pain Medicine (Anesthesiology) Physician
03200052067
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
39925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063453000
—
WV
Enumeration date
03/18/2006
Last updated
07/21/2022
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