Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 27776 | NC |
NPI | 1033169370 |
---|---|
Provider Name | Dr. Stephen Joseph Candela |
First Address | Whiteville, NC 28472-4131 |
Second Address | Whiteville, NC 28472-4131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 28/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8921030 | (05) | NC |
D62866 | (02) | NC |