Christianto, Mario

Christianto, Mario is an sole proprietor health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Christianto, Mario can be contacted via phone (919) 350-8000.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (919) 350-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25MA10196500 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2013-02334 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA10196500 New Jersey

Profile Details

NPI number 1457611337
LBN Legal business name Christianto, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2012
Last updated Feb 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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