Individual
DELL ANDREW DEMBOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PAGE ST., PINEHURST, NC 28374-8449
(910) 687-4188
(843) 479-6609
Mailing address
PO BOX 4270, PINEHURST, NC 28370-8449
(910) 687-4188
(843) 479-6609
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
14834
SC
207ZP0101X
Anatomic Pathology Physician
38927
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
14834
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
38927
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120X
BCBS
NC
05
—
890120X
—
NC
01
—
DF3784
RR MEDICARE
SC
05
—
GP0789
—
SC
05
—
GP2142
—
SC
05
—
GP3595
—
SC
Enumeration date
12/19/2005
Last updated
07/01/2016
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