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NPI Code Detail

MEDICARE: DR. CLAVIO M ASCARI M.D.

MEDICARE: DR. CLAVIO M ASCARI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician0101232589VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00045829OTHERVARAILROAD MEDICARE PIN

General Provider Information

NPI Number : 1386649069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAVIO M ASCARI M.D.
Provider Business Mailing Address
First Line : PO BOX 37090
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3090
Country : US
Telephone Number : 804-289-4937
Fax Number :
Provider Business Practice Location Address
First Line : 1602 SKIPWITH RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-5205
Country : US
Telephone Number : 804-289-4937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 09/18/2014

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