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Dr. Dominick Sam Defelice, MD
Student in an Organized Health Care Education/Training Program in Wilmington, North Carolina
NPI 1720577992

Dominick Sam Defelice is a Student in an Organized Health Care Education/Training Program based in Atlanta, NC. Dominick Sam Defelice practices in Wilmington, NC and has the professional credentials of MD. The NPI Number for Dominick Sam Defelice is 1720577992 and holds a License No. 2023-00901 (North Carolina).

The current practice location address for Dominick Sam Defelice is 2523 Delaney Ave, Wilmington, NC and can be reached out via phone at 910-763-5522 and via fax at 910-763-0413. You can also correspond with Dominick Sam Defelice through the mailing address at PO BOX 936857, ATLANTA, GA - 31193-6857 (mailing address contact number: 910-763-5522).

Location: 2523 Delaney Ave, Wilmington, NC, 31193-6857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720577992
Provider Name
Dominick Sam Defelice
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2523 Delaney Ave, Wilmington, NC, 31193-6857
Phone Number
910-763-5522
Fax Number
910-763-0413
Provider Enumeration Date
05/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2523 Delaney Ave
City
Wilmington
State
North Carolina
Zip
28403-6003
Phone Number
910-763-5522
Fax Number
910-763-0413
person
Provider Business Mailing Address Details
Address
2523 Delaney Ave
City
Wilmington
State
North Carolina
Zip
28403-6003
Phone Number
910-763-5522
Fax Number
910-763-0413
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
309120 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Neuropathology
Taxonomy
207ZN0500X
License No.
309120 (New York)
Definition
A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2023-00901 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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