Individual
DR. ATHOS C ANASTASIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
62 RIDGE RD, NORTH ARLINGTON, NJ 07031-6318
(201) 991-8565
(201) 991-2408
Mailing address
62 RIDGE RD, NORTH ARLINGTON, NJ 07031-6318
(201) 991-8565
(201) 991-2408
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA02877100
NJ
207UN0901X
Nuclear Cardiology Physician
25MA02877100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0933503
—
NJ
01
—
547283AYB
MEDICARE ID - TYPE UNSPECIFIED
NJ
Enumeration date
06/10/2006
Last updated
04/21/2011
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