Individual
DR. ANTONIO E PUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1508 MILITARY CUTOFF ROAD, STE 303, WILMINGTON, NC 28403
(910) 509-9371
(910) 509-9372
Mailing address
1508 MILITARY CUTOFF ROAD, STE 303, WILMINGTON, NC 28403
(910) 509-9371
(910) 509-9372
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
NC0831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04461
BCBS
—
Enumeration date
09/05/2006
Last updated
07/21/2015
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