Individual
CHRISTOPHER LASTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 STIRRUP LN, EATONTOWN, NJ 07724-2327
(732) 216-8443
Mailing address
3 STIRRUP LN, EATONTOWN, NJ 07724-2327
(732) 216-8443
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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