Individual
DR. ABDULLA JASTANIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
155 S ARCH ST, MILTON, PA 17847-1172
(570) 742-2655
(570) 742-2886
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT022703
PA
208000000X
Pediatrics Physician
OT022703
PA
Other
Enumeration date
03/24/2023
Last updated
04/30/2024
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