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NPI Code Detail

MEDICARE: DR. FERNANDO CROTTE M.D.

MEDICARE: DR. FERNANDO CROTTE M.D.
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 Physician35-048486OH
2207R00000XInternal Medicine Physician2008-01666NC
3208M00000XHospitalist Physician2008-01666NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619968864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERNANDO CROTTE M.D.
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 336-564-4866
Fax Number : 336-564-4869
Provider Business Practice Location Address
First Line : 1750 KERNERSVILLE MEDICAL PKWY
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-7146
Country : US
Telephone Number : 336-564-4866
Fax Number : 336-564-4869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 08/31/2023

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