Defelice, Dominick Sam
Defelice, Dominick Sam is an individual health care provider with primary practice located at 2523 Delaney Ave , Wilmington NC 28403-6003. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuropathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Defelice, Dominick Sam can be contacted via phone (910) 763-5522.Contact Information
Primary practice address
2523 Delaney Ave
Wilmington NC 28403-6003
Phone: (910) 763-5522
Fax: (910) 763-0413
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2023-00901 | North Carolina |
Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | 309120 | New York |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 309120 | New York |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1720577992 |
---|---|
LBN Legal business name | Defelice, Dominick Sam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2018 |
Last updated | Nov 1st, 2023 - about last year |
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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