Individual
SVETLANA ALEXANDRA STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2304 DELANEY RD, WILMINGTON, NC 28403-6013
(910) 763-3349
(910) 251-9428
Mailing address
2304 DELANEY RD, WILMINGTON, NC 28403-6013
(910) 763-3349
(910) 251-9428
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20060096
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904552
—
NC
Enumeration date
08/11/2005
Last updated
12/20/2023
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