Individual
DR. PAUL ANTHONY BUONGIORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1402 S 17TH ST, WILMINGTON, NC 28401-6436
(910) 762-8400
(910) 762-9558
Mailing address
1402 S 17TH ST, WILMINGTON, NC 28401-6436
(910) 762-8400
(910) 762-9558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01189
NC
2084P0800X
Psychiatry Physician
13002
DC
2084P0800X
Psychiatry Physician
34364
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19910
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
12/29/2005
Last updated
07/08/2007
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