Individual
ALFRED DE MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 MEDICAL CENTER DR, ATTN: CREDENTIALING, WILMINGTON, NC 28401-7307
(910) 341-3383
(910) 341-3321
Mailing address
2511 DELANEY AVE, WILMINGTON, NC 28403-6003
(910) 772-9202
(866) 345-8963
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21641
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130013806
RAILROAD MEDICARE
NC
01
—
28311
BCBS NC
NC
05
—
8928311
—
NC
Enumeration date
08/29/2006
Last updated
06/06/2014
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