MICHAEL PAUL BASISTA

CLIFTON, NJ
NPI1639112501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  MA035109)
Enumeration Date2006-06-14
Last Update Date2007-08-08
Business Address
Dr. MICHAEL PAUL BASISTA M.D.
1355 BROAD ST
CLIFTON, NJ 07013-4221
Phone number: 973-778-5566
Mailing Address
Dr. MICHAEL PAUL BASISTA M.D.
1355 BROAD ST
CLIFTON, NJ 07013-4221
Phone number: 973-778-5566
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