Individual
GABRIEL JOHN DASCANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4716
(336) 716-6674
(336) 716-9188
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13023
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/02/2020
Last updated
03/02/2023
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