Individual
DR. ELLEN DEFLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3124 BLUE RIDGE RD, RALEIGH, NC 27612
(919) 782-0021
(919) 571-0825
Mailing address
5 BAY RIDGE CT, DURHAM, NC 27713
(919) 453-0235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34296
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116725
WELLPATH
NC
01
—
1252688
UNITED HEALTHCARE
NC
01
—
2748521
CIGNA
NC
01
—
27789
BCBS OF NC
NC
01
—
60890
MEDCOST
NC
01
—
7409331
AETNA
NC
05
—
8927789
—
NC
Enumeration date
11/03/2006
Last updated
04/27/2009
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