| Doctor Name: | DR. ATHOS C ANASTASIADES |
| NPI Number: | 1366483174 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25MA02877100 |
| Business Practice Address: | 62 Ridge Rd North Arlington, NJ - 070316318 |
| Business Phone Number: | 2019918565 |
| Business Fax Number: | 2019912408 |
| Mailing Address: | 62 Ridge Rd, NORTH ARLINGTON |
| State: | NJ |
| Postal Code: | 070316318 |
| Phone Number: | 2019918565 |
| Fax Number: | 2019912408 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 04/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | 25MA02877100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |