Organization
SUCHETA M. NASTA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUCHETA M NASTA M.D. (OWNER)
(973) 676-7192
Entity
Organization
Contact information
Practice address
90 WASHINGTON ST, SUITE 311, EAST ORANGE, NJ 07017-1050
(973) 676-7192
(973) 331-7995
Mailing address
90 WASHINGTON STREET, SUITE 311, EAST ORANGE, NJ 07017
(973) 676-7192
(973) 331-7995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA03786600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520567
MEDICARE NUMBER
NJ
Enumeration date
12/06/2012
Last updated
12/06/2012
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