Individual
DANIEL T. BIONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2826 LAKE SHORE RD S, DENVER, NC 28037-8228
(704) 562-1613
(704) 658-0418
Mailing address
2826 LAKE SHORE RD S, DENVER, NC 28037-8228
(704) 562-1613
(704) 658-0418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-01409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905122
—
NC
Enumeration date
05/10/2006
Last updated
08/30/2016
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