Individual
DR. JOHN J. STASIK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6207
(610) 433-7571
(610) 433-8798
Mailing address
1275 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6207
(610) 433-7571
(610) 433-8798
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD011876E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007349920001
—
PA
Enumeration date
01/20/2006
Last updated
07/12/2010
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