NPI | 1093018095 |
---|---|
Former Legal Business Name | JEFFREY F. SEVERA, D.O. |
Entity Type | Organization |
Authorized Contact | JEFFREY F. SEVERA Owner/Manager 252-339-4525 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA NC200400743) |
Enumeration Date | 2010-12-13 |
Last Update Date | 2010-12-13 |