Individual
NAZARIO DEJESUS RIVERA CHAPARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 QUEENS RD, CHARLOTTE, NC 28204
(704) 316-3022
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2015-01261
NC
208000000X
Pediatrics Physician
2015-01261
NC
2080P0208X
Pediatric Infectious Diseases Physician
Primary
2015-01261
NC
Other
Enumeration date
06/27/2012
Last updated
05/31/2023
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