Individual provider · Type 1 NPI

Elise Ann Maggioncalda, MD

Diagnostic Radiology Physician · Charlotte, NC

NPI number 1710470695 Active

Practice location

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117

Call (704) 332-1291 Map

Mailing address

PO Box 221249
Charlotte, NC 28222-1249

Other practice locations

  • Internal Medicine Clinic, 1801 Sunset Drive, Columbia, SC 29203 · (803) 434-4153
  • 2006 Old Clnic CB# 7510, Chapel Hill, NC 27599-0001 · (919) 966-4180
  • 2000 Old Clinic CB# 7510, Chapel Hill, NC 27599-0001 · (984) 974-1884
  • 800 Meadows Rd, Boca Raton, FL 33486-2304 · (843) 602-5685

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XME169275 (FL)
Internal Medicine Physician 207R00000XLL52684 (SC)
Diagnostic Radiology Physician 2085R0202XRTL19-0209 (NC)
Diagnostic Radiology Physician Primary 2085R0202X2023-01751 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1710470695

Elise Ann Maggioncalda, MD's National Provider Identifier is 1710470695, issued on Jun 14, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charlotte, NC. The record was last updated on Feb 5, 2025.