Individual
THOMAS D GUASTAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 SCHUYLKILL MANOR RD, SUITE 1, POTTSVILLE, PA 17901-3849
(570) 622-5672
(570) 622-6099
Mailing address
PO BOX 510, POTTSVILLE, PA 17901-0510
(570) 622-5672
(570) 622-6099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD040617E
PA
Other
Enumeration date
08/16/2006
Last updated
11/05/2009
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