# ROBERT E CASSIDY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083810501
- **Authorized official:** MRS. LOU ROLAND (ACCOUNT SPECIALIST)
- **Authorized official phone:** (336) 623-4545

## Contact information

- **Practice address:** 332 JEFFERSON DAVIS DR, MARTINSVILLE, VA 24112-0379
- **Practice address phone:** (336) 623-4545
- **Mailing address:** 332 JEFFERSON DAVIS DR, MARTINSVILLE, VA 24112-0379
- **Mailing address phone:** (336) 623-4545
- **Mailing address fax:** (206) 333-1892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0101053359 | VA | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 03/10/2008