Organization
PASCACK EMERGENCY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP LASTELLA MD (PRESIDENT)
(201) 358-3646
Entity
Organization
Contact information
Practice address
250 OLD HOOK RD, WESTWOOD, NJ 07675-3123
(201) 358-3646
Mailing address
11 WILLIS DR, CLOSTER, NJ 07624-1634
(201) 768-3718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA04640800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5407605
—
NJ
Enumeration date
10/18/2006
Last updated
10/22/2007
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