Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 200900168 | NC |
NPI | 1033216866 |
---|---|
Provider Name | Pascale Anglade |
First Address | Charlotte, NC 28211-1075 |
Second Address | Monroe, NC 28112-5581 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 12/07/2010 |