Provider Demographics
NPI:1386324978
Name:VANOSTEN, STEVEN JR
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:VANOSTEN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MONUMENT RD APT 537
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1768
Mailing Address - Country:US
Mailing Address - Phone:610-551-8349
Mailing Address - Fax:
Practice Address - Street 1:130 MONUMENT RD APT 537
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1768
Practice Address - Country:US
Practice Address - Phone:610-551-8349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program