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1922790765
MARINA BASTAWROSS
JERSEY CITY, NJ
NPI
1922790765
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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
2023-05-22
Last Update Date
2023-05-22
Business Address
MARINA BASTAWROSS DO
176 PALISADE AVE
JERSEY CITY, NJ 07306-1121
Phone number: 201-795-8200
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Mailing Address
MARINA BASTAWROSS DO
129 S 20TH AVE
MANVILLE, NJ 08835-1639
Phone number:
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