Derienzo, Christopher Michael

Derienzo, Christopher Michael is an individual health care provider with primary practice located at 3024 New Bern Ave , Raleigh NC 27610-1247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Derienzo, Christopher Michael can be contacted via phone (919) 350-7846.

Contact Information

Primary practice address
3024 New Bern Ave Raleigh NC 27610-1247
Phone: (919) 350-7846
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2011-00473 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2011-00473 North Carolina

Profile Details

NPI number 1215104864
LBN Legal business name Derienzo, Christopher Michael
Credentials M.D., M.P.P
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Feb 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215104864 NPPES
North Carolina MEDICAID 1215104

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