Healthcare Provider Details

I. General information

NPI: 1144293861
Provider Name (Legal Business Name): JAMES ANTHONY PASCALE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 REILLY RD
FORT BRAGG NC
28310-7324
US

IV. Provider business mailing address

1409 WENCHELSA RD
GREENSBORO NC
27410-3542
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-7626
  • Fax: 910-907-6845
Mailing address:
  • Phone: 336-282-6399
  • Fax: 910-907-6845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number18039
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: