Organization
ABC PEDIATRICS OF DUNN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT CHIODO MD (OWNER)
(910) 892-1333
Entity
Organization
Contact information
Practice address
104 TILGHMAN DR, DUNN, NC 28334-5533
(910) 892-1333
(910) 892-2757
Mailing address
104 TILGHMAN DR, DUNN, NC 28334-5533
(910) 892-1333
(910) 892-2757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
58998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131N
BLUECROSS GROUP #
NC
05
—
6008504
—
NC
05
—
890131N
—
NC
Enumeration date
08/19/2006
Last updated
10/19/2011
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