Most Relevant Information
Provider Data
| NPI Number: | 1003493768 |
| Provider Name: | ANTHONY JOSEPH NASTASI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2021 |
| Last Updated: | 03/27/2021 |
Provider Practice Location
3400 SPRUCE ST
PHILADELPHIA
PA
191044238
Practice Location Phone/Fax
| Phone: | 2156629664 |
| Fax: |
Provider Mailing Location
6 S MARS CT
SEWELL
NJ
080802417
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |