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NPI Code Detail

MEDICARE: DAVID MARTIN SENIGLA

MEDICARE:   DAVID MARTIN SENIGLA
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
1183500000XPharmacist047569NY
2183500000XPharmacist19160NC

General Provider Information

NPI Number : 1689967952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MARTIN SENIGLA
Provider Business Mailing Address
First Line : 169 NORMAN STATION BLVD
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-6396
Country : US
Telephone Number : 704-664-5245
Fax Number : 704-664-5320
Provider Business Practice Location Address
First Line : 169 NORMAN STATION BLVD
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-6396
Country : US
Telephone Number : 704-664-5245
Fax Number : 704-664-5320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2011
Last Update Date : 06/27/2023

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Directions to “ DAVID MARTIN SENIGLA ” Practice Location

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