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Individual

MR. RICK F GAGLIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
2500 WEST 5TH STREET, CAROLINA ORTHO PROSTHETICS INC, GREENVILLE, NC 27834-7812
(252) 752-1253
(252) 757-3058
Mailing address
PO BOX 5066, CAROLINA ORTHO PROSTHETICS INC, GREENVILLE, NC 27835-5066
(252) 752-1253
(252) 757-3058

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04927
NC BCBS #
NC
05
7700164
NC
Enumeration date
11/19/2008
Last updated
01/19/2010
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