Individual
MR. DAVID AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
401-55 W. ALLEGHENY AVE., PHILADELPHIA, PA 19133-3644
(215) 291-2500
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
SP010122
PA
Other
Enumeration date
11/20/2009
Last updated
06/09/2011
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