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1326898255
MARINA SAMUEL BASTA
NORTH BERGEN, NJ
NPI
1326898255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
MARINA SAMUEL BASTA MD
7600 RIVER RD
NORTH BERGEN, NJ 07047-6217
Phone number: 201-854-5000
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Mailing Address
MARINA SAMUEL BASTA MD
13 HAMILTON DR
SPOTSWOOD, NJ 08884-1267
Phone number: 848-459-2421
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