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1144268137
MISHA BASALAEV
EAST BRUNSWICK, NJ
NPI
1144268137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25ma05320800)
Enumeration Date
2006-06-03
Last Update Date
2019-08-07
Business Address
MISHA BASALAEV md
561 CRANBURY RD
EAST BRUNSWICK, NJ 08816-5400
Phone number: 732-390-7400
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Mailing Address
MISHA BASALAEV md
561 CRANBURY RD
EAST BRUNSWICK, NJ 08816-5400
Phone number: 732-390-7400
Copy
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