Individual
ROCKY EVAN BACELIERI
Active
Individual
ROCKY EVAN BACELIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2010-00859
NC
207N00000X
Dermatology Physician
30683
SC
207ND0900X
Dermatopathology Physician
2010-00859
NC
207ND0900X
Dermatopathology Physician
30683
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914641
—
NC
Enumeration date
05/01/2007
Last updated
09/03/2019
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