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Individual

DANIEL ANDREW BAMBINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 RANDOLPH RD., STE. 210, CHARLOTTE, NC 28207-1106
(704) 370-0223
(704) 370-0799
Mailing address
1900 RANDOLPH RD., STE. 210, CHARLOTTE, NC 27207-1106
(704) 370-0223
(704) 370-0799

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8912806
NC
05
N00300
SC
Enumeration date
02/26/2007
Last updated
07/08/2007
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