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NPI Code Detail

MEDICARE: PASQUALE F NESTICO MD

MEDICARE:   PASQUALE F NESTICO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMD025234EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043284524
Entity Type Code : Individual
Provider Name (Legal Business Name) : PASQUALE F NESTICO MD
Provider Business Mailing Address
First Line : 207 N BROAD ST
Second Line : 3RD FLR.
City : PHILADELPHIA
State : PA
Zip : 19107-1500
Country : US
Telephone Number : 215-389-3890
Fax Number : 215-551-0368
Provider Business Practice Location Address
First Line : 1809 W OREGON AVE
Second Line : FLR 1
City : PHILADELPHIA
State : PA
Zip : 19145
Country : US
Telephone Number : 215-389-3890
Fax Number : 215-551-0368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/13/2023

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Directions to “ PASQUALE F NESTICO MD” Practice Location

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