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DR. DORIAN JOSEPH DEFREITAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
Mailing address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 306-8172

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2012-00565
NC
208600000X
Surgery Physician
2012-00656
NC
2086S0129X
Vascular Surgery Physician
Primary
2012-00656
NC

Other

Enumeration date
07/13/2007
Last updated
11/03/2021
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