Individual
DR. EDGARDO HUGO BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1032 W COVE LOOP, LELAND, NC 28451-9575
(910) 399-6118
Mailing address
1032 W COVE LOOP, LELAND, NC 28451-9575
(910) 399-6118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22649
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890020K
—
NC
Enumeration date
11/30/2005
Last updated
05/07/2010
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