Individual
ANDREW TUDOR TRIFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054
(704) 834-2000
(704) 834-2500
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(048) 342-4507
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-00369
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235471392
—
NC
01
—
9QAG
BCBS OF NC
NC
05
—
NC3100
—
SC
Enumeration date
03/26/2013
Last updated
06/17/2019
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