Provider Demographics
NPI:1093853665
Name:ANASTASIO, DEBRA MCNAMARA (ND)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:MCNAMARA
Last Name:ANASTASIO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:286 MAPLE AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2560
Mailing Address - Country:US
Mailing Address - Phone:203-271-1311
Mailing Address - Fax:203-271-9899
Practice Address - Street 1:286 MAPLE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2560
Practice Address - Country:US
Practice Address - Phone:203-271-1311
Practice Address - Fax:203-271-9899
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000218175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath