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1063516110
MITCHELL CHARLES STASKA
PHILADELPHIA, PA
NPI
1063516110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: PA MA-000830-L)
Enumeration Date
2006-09-11
Last Update Date
2013-12-16
Business Address
Mr. MITCHELL CHARLES STASKA MPA-C
PHILADELPIA VETERANS HOSPITAL UNIVERSITY AND WOODLAND AVENUE
PHILADELPHIA, PA 19104
Phone number: 215-823-5800
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Mailing Address
Mr. MITCHELL CHARLES STASKA MPA-C
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
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