Individual
NESTOR ESNAOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, 4TH FL PARKINSON PAVILION, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-3945
Mailing address
2450 W HUNTING PARK AVE, 3/208N, PHILADELPHIA, PA 19129-1302
(215) 707-3133
(215) 707-3945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27549
SC
2086X0206X
Surgical Oncology Physician
Primary
MD446554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275491
—
SC
Enumeration date
08/19/2006
Last updated
03/21/2017
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