Organization
TELOMERE ANESTHESIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAPTISTE MARINO M.D. (OWNER, PHYSICIAN)
(704) 841-0992
Entity
Organization
Contact information
Practice address
1212 MANN DR, SUITE 200, MATTHEWS, NC 28105-5510
(704) 841-0992
Mailing address
PO BOX 1707, MATTHEWS, NC 28106-1707
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-05222
NC
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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