Individual
ANN ELIZABETH PITTONI CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
269 GILLMAN RD STE 200A, DENVER, NC 28037-7922
(704) 316-5287
(704) 316-5268
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-2312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007-01867
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366502452
—
NC
05
—
5910292
—
NC
Enumeration date
12/11/2006
Last updated
06/15/2023
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