Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1524 | MA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 2006022689 | MO |
NPI | 1811089576 |
---|---|
Provider Name | Dr. Gerald Nastasia JR. |
First Address | Seabrook, NH 03874-4196 |
Second Address | Swampscott, MA 01907-1831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01539 | AETNA US HEALTHCARE (01) | MA |
508030 | HCVM (01) | MA |
737865 | TUFTS (01) | MA |
998114 | NETWORK HEALTH (01) | MA |
B20294501 | CIGNA (01) | MA |
T93459 | (02) | MA |
Y36064 | BLUECROSS OF MA (01) | MA |