Organization
ANTHONY P. DASARO, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PETER DASARO MD (OWNER)
(304) 205-7790
Entity
Organization
Contact information
Practice address
331 LAIDLEY ST, SUITE 307, CHARLESTON, WV 25301-1619
(304) 205-7790
(304) 205-7792
Mailing address
331 LAIDLEY ST, SUITE 307, CHARLESTON, WV 25301-1619
(304) 205-7790
(304) 205-7792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19826
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810014106
—
WV
Enumeration date
01/15/2009
Last updated
04/20/2009
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