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Individual

DANIEL I ZIVONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
200201027
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
200201027
NC
207ND0900X
Dermatopathology Physician
200201027
NC
207NP0225X
Pediatric Dermatology Physician
200201027
NC
207NS0135X
Procedural Dermatology Physician
200201027
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8913255
NC
Enumeration date
06/28/2005
Last updated
01/05/2015
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