Individual
MICHAEL JAMES NESTASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1624 PACIFIC AVE STE B, NATRONA HEIGHTS, PA 15065-2145
(724) 226-3345
(724) 226-2415
Mailing address
1624 PACIFIC AVE STE B, NATRONA HEIGHTS, PA 15065-2145
(724) 226-3345
(724) 226-2415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS019962
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS019962
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101140177
PA MEDICAID
PA
01
—
2X4087
MEDICARE
PA
Enumeration date
04/02/2016
Last updated
08/06/2024
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