Individual provider · NPI-1

Dr. Johny Denis Ardeljan, DO

Psychiatry & Neurology, Neurology · Wilmington, NC

NPI number1265692073
StatusActive
Last updated in NPPESApr 27, 2018

Details

NPI
1265692073
Entity type
Individual (NPI-1)
Name
Dr. Johny Denis Ardeljan
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2008
Last updated
Apr 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology2018-00949NCYes
2084N0400X Psychiatry & Neurology, Neurology2538571NY

Practice location

1202 Medical Center Dr
Wilmington, NC 28401-7307

Phone 910-341-3300 · Fax 910-251-2067

Mailing address

170 Great Neck Rd
Great Neck, NY 11021-3357

Phone 516-487-4464 · Fax 516-487-4950

Other practice locations

170 Great Neck Rd
Great Neck, NY 11021-3357

Phone 516-487-4464 · Fax 516-487-4950

8090 Market St
Wilmington, NC 28411-9384

Phone 910-341-3300

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