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Individual

ROBERT J CHERICHELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
304 GRANDE OAK BLVD W, SUITE B, LUMBERTON, NC 28358-1133
(910) 674-4579
(910) 674-4579
Mailing address
304 GRANDE OAK BLVD W, SUITE B, LUMBERTON, NC 28358-1133
(910) 674-4579
(910) 674-4579

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200000374
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12678
BLUE CROSS BLUE SHIELD
NC
05
8912678
NC
Enumeration date
08/24/2005
Last updated
10/28/2011
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