Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 9401121 | NC |
Y | 208600000X | Surgeon | 9401121 | NC |
N | 2086S0120X | Pediatric Surgery | 94-01121 | NC |
NPI | 1083749170 |
---|---|
Provider Name | Robert Joseph Attorri |
First Address | Charlotte, NC 28207-1106 |
Second Address | Charlotte, NC 28207-1106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 26/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8910905 | (05) | NC |
A78822 | (02) | NC |
N01121 | (05) | SC |