Healthcare Provider Details

I. General information

NPI: 1285770883
Provider Name (Legal Business Name): JOANNE POJE TOMASULO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOANNE POJE M.D.

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 S TRYON ST
CHARLOTTE NC
28202-3271
US

IV. Provider business mailing address

650 S TRYON ST STE 440
CHARLOTTE NC
28202-3271
US

V. Phone/Fax

Practice location:
  • Phone: 704-626-6266
  • Fax: 704-585-8039
Mailing address:
  • Phone: 704-626-6266
  • Fax: 704-585-8039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number35.78117
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number35078117
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: