Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 2019-00698 | NC |
NPI | 1003278680 |
---|---|
Provider Name | Dr. Andrew Joseph Bellantoni |
First Address | Durham, NC 27701-1375 |
Second Address | Manhasset, NY 11030-3816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2016 |
Last Update Date | 28/06/2020 |