| Sucheta M. Nasta Md | |
|
90 Washington St Suite 311 East Orange NJ 07017-1050 | |
| (973) 676-7192 | |
| (973) 331-7995 |
| Full Name | Sucheta M. Nasta Md |
|---|---|
| Speciality | Family Medicine |
| Location | 90 Washington St, East Orange, New Jersey |
| Authorized Official Name and Position | Sucheta M Nasta (OWNER) |
| Authorized Official Contact | 9736767192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sucheta M. Nasta Md 90 Washington Street Suite 311 East Orange NJ 07017 Ph: (973) 676-7192 | Sucheta M. Nasta Md 90 Washington St Suite 311 East Orange NJ 07017-1050 Ph: (973) 676-7192 |
| NPI Number | 1417292145 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417292145 | NPI | - | NPPES |
| 520567 | Other | NJ | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA03786600 (New Jersey) | Primary |
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