Dastis, Madison

Dastis, Madison is an individual health care provider with primary practice located at 2042 Morris Ave , Union NJ 07083-6045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dastis, Madison can be contacted via phone (908) 350-4444.

Contact Information

Primary practice address
2042 Morris Ave Union NJ 07083-6045
Phone: (908) 350-4444
Fax: (908) 360-0490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1467056507
LBN Legal business name Dastis, Madison
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2020
Last updated Jun 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers