Masciello, Anthony Leonard
Masciello, Anthony Leonard is an individual health care provider with primary practice located at 1806 S Hawthorne Rd , Winston Salem NC 27103-4014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Masciello, Anthony Leonard can be contacted via phone (336) 768-3632.Contact Information
Primary practice address
1806 S Hawthorne Rd
Winston Salem NC 27103-4014
Phone: (336) 768-3632
Fax: (336) 768-4473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 9300753 | North Carolina |
Profile Details
| NPI number | 1699763045 |
|---|---|
| LBN Legal business name | Masciello, Anthony Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Feb 28th, 2014 - about 12 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 | 1699763045 | NPPES |
| North Carolina | MEDICAID | 8954547 |
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