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1649295585
MAFDY BASTA
WILKES BARRE, PA
NPI
1649295585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: PA MD428789)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
-- MAFDY BASTA
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
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Mailing Address
-- MAFDY BASTA
6 MEADOWBROOK CT
WILKES BARRE, PA 18702-7835
Phone number:
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