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NPI Code Detail

MEDICARE: ISOLINA ROSSI MD

MEDICARE:   ISOLINA  ROSSI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician238764NC

General Provider Information

NPI Number : 1467958116
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISOLINA ROSSI MD
Provider Business Mailing Address
First Line : 1000 BLYTHE BLVD STE 601
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5871
Country : US
Telephone Number : 704-355-7874
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD STE 601
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5871
Country : US
Telephone Number : 704-355-7874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 04/02/2018

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Directions to “ ISOLINA ROSSI MD” Practice Location

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