Individual
MARK JEFFREY DUFINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
(910) 791-9626
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
(910) 791-9626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38933
NC
207Q00000X
Family Medicine Physician
38933
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235110
—
NC
01
—
29274
BCBS
NC
05
—
8929274
—
NC
Enumeration date
04/17/2006
Last updated
09/14/2023
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