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Contact Information

ELLEN DEFLORA, MD
3124 BLUE RIDGE RD
RALEIGH, NC27612
 Phone: 919-782-0021
 Fax: 919-571-0825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELLEN DEFLORA · (Female)

NPI Number 1275612160
Status Active
Credentials MD
Entity Individual
Enumeration date 11/03/2006
Last updated 04/27/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 34296
  • NC Medicaid 8927789
  • NC Other 7409331 AETNA
  • NC Other 27789 BCBS OF NC
  • NC Other 2748521 CIGNA
  • NC Other 60890 MEDCOST
  • NC Other 1252688 UNITED HEALTHCARE
  • NC Other 116725 WELLPATH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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