Individual
DAVID DANIEL DILORETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 E THOM ST, CHINA GROVE, NC 28023-2363
(704) 855-8338
(704) 855-8339
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 855-8338
(704) 855-8339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37819
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28307
BLUE CROSS BLUE SHIELD NC
NC
05
—
8928307
—
NC
Enumeration date
08/02/2005
Last updated
02/15/2013
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