Healthcare Provider Details

I. General information

NPI: 1740231240
Provider Name (Legal Business Name): MARIA-CRISTINA JAVIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 S 17TH ST
WILMINGTON NC
28401-7407
US

IV. Provider business mailing address

2131 S 17TH ST
WILMINGTON NC
28401-7407
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-2970
  • Fax: 910-343-7390
Mailing address:
  • Phone: 910-343-2970
  • Fax: 910-343-7390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2008-01226
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: