Individual
MARILYNN A PRINCE-FIOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1090 MEDICAL CENTER DR, WILMINGTON, NC 28401-7353
(910) 343-3345
(910) 343-1924
Mailing address
1090 MEDICAL CENTER DR, WILMINGTON, NC 28401-7353
(910) 343-3345
(910) 343-1924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-02084
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2013-02084
NC
207RP1001X
Pulmonary Disease Physician
Primary
2013-02084
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1888497-01
—
TX
05
—
31987500
—
WI
01
—
8AH512
MEDICARE - TEXAS
TX
Enumeration date
06/01/2005
Last updated
01/19/2017
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