Healthcare Provider Details

I. General information

NPI: 1386643559
Provider Name (Legal Business Name): NASSER A ASKARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 S LONG DR SUITE 104
ROCKINGHAM NC
28379-4874
US

IV. Provider business mailing address

PO BOX 843200
BOSTON MA
02284-3200
US

V. Phone/Fax

Practice location:
  • Phone: 910-417-3850
  • Fax: 910-417-3860
Mailing address:
  • Phone: 910-417-3850
  • Fax: 910-417-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number18925
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: