Doctor Name: | NICHOLAS ASTROMOFF |
NPI Number: | 1023031234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G72683 |
Business Practice Address: | 1661 Soquel Drive Building G Santa Cruz, CA - 950651709 |
Business Phone Number: | 8314767711 |
Business Fax Number: | 8314766189 |
Mailing Address: | 1661 Soquel Drive, Building G SANTA CRUZ |
State: | CA |
Postal Code: | 950651709 |
Phone Number: | 8314761542 |
Fax Number: | 8314648977 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 05/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | G72683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |