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Individual

JOSEPH R DESANTOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 HOSPITAL DR, SUITE 3B2, HENDERSONVILLE, NC 28792-5248
(828) 687-0088
(828) 684-6693
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
201201997
NC
207RC0000X
Cardiovascular Disease Physician
MD032977E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
176U7
BCBS NC
NC
01
P01248130
MEDICARE RR
NC
Enumeration date
10/25/2005
Last updated
12/06/2016
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