Individual
JOHN STASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W END AVE APT 10A, NEW YORK, NY 10023-5745
(215) 450-8436
Mailing address
150 W END AVE APT 10A, NEW YORK, NY 10023-5745
(215) 450-8436
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD027552E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011376370008
—
PA
Enumeration date
05/25/2006
Last updated
03/07/2023
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