Individual
JOHN PASQUARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8090 MARKET ST, WILMINGTON, NC 28411-9384
(910) 341-3300
(910) 815-2882
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 341-3321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110123220
RAILROAD MEDICARE
NC
01
—
65838
BCBS NC
NC
05
—
8965838
—
NC
Enumeration date
08/31/2006
Last updated
10/30/2014
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