# GUASTELLO, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336187939
- **Authorized official:** DR. JOSEPH R GUASTELLO M.D. (PRESIDENT)
- **Authorized official phone:** (816) 753-5663

## Contact information

- **Practice address:** 4320 WORNALL RD, SUITE 512, KANSAS CITY, MO 64111-5941
- **Practice address phone:** (816) 753-5663
- **Practice address fax:** (816) 753-4701
- **Mailing address:** 4320 WORNALL RD, SUITE 512, KANSAS CITY, MO 64111-5941
- **Mailing address phone:** (816) 753-5663
- **Mailing address fax:** (816) 753-4701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 03/27/2008