Individual
DR. ANTHONY P DASARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 QUINCY LN, CHARLESTON, WV 25314-1618
(304) 415-2933
Mailing address
1401 QUINCY LN, CHARLESTON, WV 25314-1618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19826
WV
208M00000X
Hospitalist Physician
Primary
19826
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115319
—
OH
05
—
7100148530
—
KY
Enumeration date
11/23/2005
Last updated
09/25/2019
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