Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 2848 | NC |
NPI | 1841250214 |
---|---|
Provider Name | Mr. Mark Joseph Cifarelli |
First Address | Cary, NC 27519 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 14/08/2008 |