Individual provider · NPI-1

Mario Baldomero Basegoda, MD

Hospitalist · Wilmington, NC

NPI number1457373540
StatusActive
Last updated in NPPESOct 5, 2023

Details

NPI
1457373540
Entity type
Individual (NPI-1)
Name
Mario Baldomero Basegoda
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 24, 2006
Certification date
Oct 5, 2023
Last updated
Oct 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist200000717NCYes

Practice location

2131 S 17th St
Wilmington, NC 28401-7407

Phone 910-667-7000 · Fax 910-815-5698

Mailing address

Po Box 936857
Atlanta, GA 31193-6857

Other practice locations

1725 New Hanover Medical Park Dr
Wilmington, NC 28403-5345

Phone 910-667-6255

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