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Individual

JOHN DELLABADIA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4111 CAPITOL ST STE A, DURHAM, NC 27704
(919) 477-1588
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5005
(615) 345-5400

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
11920R
LA
2084N0400X
Neurology Physician
Primary
2008-00343
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2008-00343
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1688207
LA
05
5909394
NC
Enumeration date
07/14/2006
Last updated
12/20/2018
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