Individual
DR. ATHOS C ANASTASIADES
Active
Individual
DR. ATHOS C ANASTASIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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