Provider Demographics
NPI:1891786786
Name:ANASTASI, MARGARET T (ANP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:T
Last Name:ANASTASI
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:75 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-9147
Mailing Address - Country:US
Mailing Address - Phone:781-585-2200
Mailing Address - Fax:781-585-1784
Practice Address - Street 1:5 TARKILN RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1200
Practice Address - Country:US
Practice Address - Phone:781-585-2200
Practice Address - Fax:781-585-1784
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA169117363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA59461OtherFALLON
MA042297845OtherGREAT WEST HEALTH CARE
MA042297845OtherTRICARE
MA042297846OtherDOC FIRST
MA0338851Medicaid
MA042297845OtherPRIVATE HEALTHCARE SYSTEM
MANP9960OtherBCBS
MA0338851Medicaid
MA042297845OtherGREAT WEST HEALTH CARE