Organization
GASTON NEUROLOGICAL, PLLC
Active
Other names
GASTON NEUROLOGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A DIFINI M.D. (OWNER)
(704) 865-1700
Entity
Organization
Contact information
Practice address
815 COX RD, GASTONIA, NC 28054-3453
(704) 865-1700
(704) 865-7948
Mailing address
815 COX RD, GASTONIA, NC 28054-3453
(704) 865-1700
(704) 865-7948
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200001228722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012XJ
—
NC
Enumeration date
10/10/2006
Last updated
08/22/2020
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