Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 34359 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | MD046177L | PA |
NPI | 1003828716 |
---|---|
Provider Name | Philip James Iuliano |
First Address | Charlotte, NC 28275-1803 |
Second Address | Elkin, NC 28621-2472 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 27/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003828716 | (05) | NC |
45353 | BCBS (01) | NC |
8945353 | (05) | NC |
F19690 | (02) | |
N34359 | (05) | SC |
P00206531 | RAILROAD MEDICARE (01) |