Mario Anthony Casolaro
Pulmonary Disease
1750 Tysons Blvd Ste 1160
Tysons
, Virginia 22102
Mario Anthony Casolaro
Pulmonary Disease
1750 Tysons Blvd Ste 1160
Tysons
, Virginia 22102
(703) 521-5991
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Mario Anthony Casolaro
- 1750 Tysons Blvd Ste 1160
- Tysons, VA
- Zip : 22102-4230
- Fax : (703) 521-5991
- Phone : (571) 341-9450
Second Address
- Mario Anthony Casolaro
- 1750 Tysons Blvd Ste 1160
- Tysons, VA
- Zip : 22102
- Fax : (703) 521-5991
- Phone : (571) 341-9450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | 0101035642 | VA |
National Provider Identifier
| NPI | 1033102363 |
|---|---|
| Provider Name | Mario Anthony Casolaro |
| First Address | Tysons, VA 22102-4230 |
| Second Address | Tysons, VA 22102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2005 |
| Last Update Date | 23/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6082777 | (05) | VA |
| C89162 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.