Individual
DR. PHILIP TASCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 GRAND AVE, FIRST FLOOR, ENGLEWOOD, NJ 07631-4967
(201) 567-2277
(201) 567-7506
Mailing address
500 GRAND AVE, FIRST FLOOR, ENGLEWOOD, NJ 07631-4967
(201) 567-2277
(201) 567-7506
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2355541
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07872400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08681200
CDS
NJ
Enumeration date
12/02/2005
Last updated
03/07/2023
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