Individual
BERNIE P STASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 SCHUYLKILL MEDICAL PLZ, POTTSVILLE, PA 17901-3668
(570) 621-9500
(570) 621-9510
Mailing address
209 RAILROAD STREET, DELANO, PA 18220
(570) 467-3008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003095
PA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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