Healthcare Provider Details

I. General information

NPI: 1982736344
Provider Name (Legal Business Name): MARY FRANCES ASTERITA-ROBOL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N BRIGHTLEAF BLVD
SMITHFIELD NC
27577-4407
US

IV. Provider business mailing address

128 OLD MALLARD RD
SMITHFIELD NC
27577-9453
US

V. Phone/Fax

Practice location:
  • Phone: 919-934-8171
  • Fax:
Mailing address:
  • Phone: 919-989-1850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number9400406
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: