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1922414978
SAMEH BASTA
MIDDLETOWN, DE
NPI
1922414978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A175282)
Enumeration Date
2014-07-09
Last Update Date
2022-06-10
Business Address
Dr. SAMEH BASTA M.D
651 N BROAD ST STE 206
MIDDLETOWN, DE 19709-6402
Phone number: 312-459-0921
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Mailing Address
Dr. SAMEH BASTA M.D
425 MICHIGAN AVE
BUFFALO, NY 14203-2209
Phone number:
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