Casolaro, Mario Anthony
Casolaro, Mario Anthony is an individual health care provider with primary practice located at 1750 Tysons Blvd Ste 1160 , Tysons VA 22102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Casolaro, Mario Anthony can be contacted via phone (571) 341-9450.Contact Information
Primary practice address
1750 Tysons Blvd Ste 1160
Tysons VA 22102
Phone: (571) 341-9450
Fax: (703) 521-5991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101035642 | Virginia |
Profile Details
| NPI number | 1033102363 |
|---|---|
| LBN Legal business name | Casolaro, Mario Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033102363 | NPPES |
| Virginia | MEDICAID | 6082777 |
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