Individual
ALYSSA D'ASTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2400 GREATSTONE PT FL 2, LEXINGTON, KY 40504-3274
(859) 323-6211
(859) 257-7706
Mailing address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
05877
KY
208000000X
Pediatrics Physician
25MB11802000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2020
Last updated
08/20/2024
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