Individual provider · Type 1 NPI

Mitchell Charles Staska, MPA-C

Surgical Physician Assistant · Philadelphia, PA

NPI number 1063516110 Active

Practice location

Philadelpia Veterans Hospital, University And Woodland Avenue
Philadelphia, PA 19104

Call (215) 823-5800 Map

Mailing address

3900 Woodland Ave
Philadelphia, PA 19104-4551

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA-000830-L (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1063516110

Mitchell Charles Staska, MPA-C's National Provider Identifier is 1063516110, issued on Sep 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 16, 2013.