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NPI Code Detail

MEDICARE: MARISSA ELARDO MD

MEDICARE:   MARISSA  ELARDO  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
1207R00000XInternal Medicine Physician2026-03197NC

General Provider Information

NPI Number : 1023863032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA ELARDO MD
Provider Business Mailing Address
First Line : 100 EASTOWNE DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-2286
Country : US
Telephone Number : 984-974-4462
Fax Number :
Provider Business Practice Location Address
First Line : 100 EASTOWNE DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-2286
Country : US
Telephone Number : 984-974-4462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 06/08/2026

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Directions to “ MARISSA ELARDO MD” Practice Location

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