Individual
DR. SUCHETA M NASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
90 WASHINGTON ST, SUITE 311, EAST ORANGE, NJ 07017-1050
(973) 676-7192
(973) 676-0525
Mailing address
90 WASHINGTON ST, SUITE 311, EAST ORANGE, NJ 07017-1050
(973) 676-7192
(973) 676-0525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA37866
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3673502
—
NJ
Enumeration date
09/17/2006
Last updated
07/08/2007
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