Organization
ASTRA MD P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA FUKSINA (PRESIDENT)
(973) 483-1500
Entity
Organization
Contact information
Practice address
550 BLOOMFIELD AVE, NEWARK, NJ 07107-1386
(973) 483-1500
Mailing address
550 BLOOMFIELD AVE, NEWARK, NJ 07107-1386
(973) 483-1500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07003100
NJ
207UN0901X
Nuclear Cardiology Physician
25MA07840500
NJ
Other
Enumeration date
11/30/2009
Last updated
06/30/2011
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