Individual
DR. JOSE R CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1404 WILLOW LN, SUITE B, NORTH WILKESBORO, NC 28659-3584
(336) 903-7845
(336) 903-7841
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2013-00302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02161397
—
NY
Enumeration date
10/06/2006
Last updated
08/01/2017
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