Provider Demographics
NPI:1528197266
Name:JOSEPH NASCA, MD
Entity Type:Organization
Organization Name:JOSEPH NASCA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMISA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-524-8950
Mailing Address - Street 1:PO BOX 1356
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-1356
Mailing Address - Country:US
Mailing Address - Phone:802-527-2237
Mailing Address - Fax:
Practice Address - Street 1:789B ETHAN ALLEN HIGHWAY
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468
Practice Address - Country:US
Practice Address - Phone:802-527-2237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1003400Medicaid
VN0867Medicare ID - Type Unspecified
VT1003400Medicaid