Healthcare Provider Details

I. General information

NPI: 1508885443
Provider Name (Legal Business Name): ANTHONY ADOLPH FRASCA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 FIDDLERS RUN BLVD
MORGANTON NC
28655-7753
US

IV. Provider business mailing address

PO BOX 248
MORGANTON NC
28680-0248
US

V. Phone/Fax

Practice location:
  • Phone: 828-608-0892
  • Fax: 828-608-0373
Mailing address:
  • Phone: 828-608-0892
  • Fax: 828-608-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9901177
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: