Adolfo Richard Desandre in Bolivia - Surgery

Adolfo Richard Desandre - NPI 1710963475

Adolfo Richard Desandre is a Surgery in Bolivia, North Carolina. Adolfo Richard Desandre practices all healthcare services and medical treatments related to Surgery. The NPI Number for Adolfo Richard Desandre is 1710963475. The last update date is 2023-05-11.

Adolfo Richard Desandre's current location address is 257 Hospital Drive Suite 200, Bolivia, North Carolina. You can contact this provider via phone number 9107214000 and fax number 9107214001. The mailing address for Adolfo Richard Desandre is 257 Hospital Drive Suite 200, Bolivia, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Adolfo Richard Desandre
Address 257 Hospital Drive Suite 200, Bolivia, North Carolina
Phone Number 9107214000
Fax Number 9107214001
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1710963475
Provider Enumeration Date 2005-12-15
Last Updated Date 2023-05-11

Provider Mailing Address Detail

Address 257 Hospital Drive Suite 200
City Bolivia
State North Carolina (NC)
Post Code 284228411
Phone Number 9107214000
Fax Number 9107214001

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 20712
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20712 SC SC MEDICAL LICENSE
9801631 NC NC MEDICAL LICENSE
8911805 NC --

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FAQs about Adolfo Richard Desandre

What is the unique 10-digit identification code issued to Adolfo Richard Desandre by the Centers for Medicare & Medicaid Services?

The Adolfo Richard Desandre has been assigned the NPI (National Provider Identifier) 1710963475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Adolfo Richard Desandre located?

The Adolfo Richard Desandre is located at 257 Hospital Drive Suite 200, Bolivia, NC 284228411.

What is the area of specialization for Adolfo Richard Desandre, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Adolfo Richard Desandre is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date was the 1710963475 assigned to Adolfo Richard Desandre?

The Adolfo Richard Desandre was issued its 1710963475 on 2005-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Adolfo Richard Desandre last refreshed?

The information related to the Adolfo Richard Desandre, including its address, specialty, and other relevant details, was last updated on 2023-05-11.

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