| Anthony P. Dasaro, Md, Pllc | |
|
331 Laidley St Suite 307 Charleston WV 25301-1619 | |
| (304) 205-7790 | |
| (304) 205-7792 |
| Full Name | Anthony P. Dasaro, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 331 Laidley St, Charleston, West Virginia |
| Authorized Official Name and Position | Anthony Peter Dasaro (OWNER) |
| Authorized Official Contact | 3042057790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony P. Dasaro, Md, Pllc 331 Laidley St Suite 307 Charleston WV 25301-1619 Ph: (304) 205-7790 | Anthony P. Dasaro, Md, Pllc 331 Laidley St Suite 307 Charleston WV 25301-1619 Ph: (304) 205-7790 |
| NPI Number | 1255578076 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 04/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255578076 | NPI | - | NPPES |
| 3810014106 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19826 (West Virginia) | Primary |
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