Individual
JOSEPH A. MOLITIERNO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3125 SPRINGBANK LN, SUITE E, CHARLOTTE, NC 28226-3379
(704) 381-3510
(704) 540-3668
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(704) 381-3510
(704) 540-3668
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
2006-01364
NC
2088P0231X
Pediatric Urology Physician
29564
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201047
MEDCOST
SC
05
—
295647
—
SC
05
—
5907391
—
NC
01
—
9295059
AETNA
SC
Enumeration date
05/01/2007
Last updated
07/29/2013
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