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1063500783
RUSSELL ANTHONY INCATASCIATO
WILMINGTON, NC
NPI
1063500783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 9900882)
Enumeration Date
2006-10-10
Last Update Date
2009-11-24
Business Address
-- RUSSELL ANTHONY INCATASCIATO D.O.
4402 SHIPYARD BLVD
WILMINGTON, NC 28403-6161
Phone number: 910-452-1400
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Mailing Address
-- RUSSELL ANTHONY INCATASCIATO D.O.
4402 SHIPYARD BLVD
WILMINGTON, NC 28403-6161
Phone number: 910-452-1400
Copy
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