Individual
DR. STEPHEN JAMES EZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1401 MATTHEWS TOWNSHIP PKWY, SUITE 100, MATTHEWS, NC 28105-5402
(704) 384-1080
(704) 384-1122
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1080
(704) 384-1122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31983
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930983
—
NC
05
—
N31983
—
SC
Enumeration date
02/06/2006
Last updated
08/14/2023
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