MITCHELL CHARLES STASKA

PHILADELPHIA, PA
NPI1063516110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: PA  MA-000830-L)
Enumeration Date2006-09-11
Last Update Date2013-12-16
Business Address
Mr. MITCHELL CHARLES STASKA MPA-C
PHILADELPIA VETERANS HOSPITAL UNIVERSITY AND WOODLAND AVENUE
PHILADELPHIA, PA 19104
Phone number: 215-823-5800
Mailing Address
Mr. MITCHELL CHARLES STASKA MPA-C
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800