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Individual

JOHN W DIFIORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1025 MOREHEAD MEDICAL DR, SUITE 275, CHARLOTTE, NC 28204-2963
(704) 403-2662
(704) 403-2670
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 403-2662
(704) 403-2670

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
2014-00192
NC
2086S0120X
Pediatric Surgery Physician
35075425D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700840469
NC
05
2082370
OH
05
NC2063
SC
Enumeration date
04/12/2006
Last updated
06/20/2014
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