Individual
DR. RICHARD ANTHONY FASANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
105 NORTH MAIN AVE SUITE A-2ND FLOOR, NEWTON, NC 28658
(828) 615-7376
Mailing address
105 N MAIN AVE STE A2ND, NEWTON, NC 28658-3213
(828) 615-7376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-01045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150F5
BCBS NC
NC
05
—
5910161
—
NC
Enumeration date
09/28/2006
Last updated
09/09/2024
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