| Paul A. Buongiorno, M.d., P.a. | |
|
1402 S 17th St Wilmington NC 28401-6436 | |
| (910) 762-8400 | |
| (910) 762-9558 |
| Full Name | Paul A. Buongiorno, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1402 S 17th St, Wilmington, North Carolina |
| Authorized Official Name and Position | Paul Buongiorno (OWNER) |
| Authorized Official Contact | 9107628400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A. Buongiorno, M.d., P.a. 1402 S 17th St Wilmington NC 28401-6436 Ph: (910) 762-8400 | Paul A. Buongiorno, M.d., P.a. 1402 S 17th St Wilmington NC 28401-6436 Ph: (910) 762-8400 |
| NPI Number | 1366757254 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 9638295702 |
|---|---|
| Medicare Enrollment ID | O20100927000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366757254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 95-01189 (North Carolina) | Primary |
| Provider Name | Paul A Buongiorno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821075805 PECOS PAC ID: 1254457328 Enrollment ID: I20100927000126 |
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