Whalio Doctors

NPI 1063500783

Russell Anthony Incatasciato, DO

Practitioner Emergency Medicine Physician Wilmington, NC

Practice location

Address
4402 Shipyard Blvd, Wilmington, NC 28403-6161
Phone
(910) 452-1400
Fax
(910) 791-9626

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 9900882 (NC)

Registry record

NPI
1063500783
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Oct 2006
Record last updated
24 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.