Active NPIIndividual provider

Dr. Bassam T Kashlan, MD

Surgery in Wall, New Jersey

NPI Number1093817637
Practice location
1540 State Route 138, Suite 201, Wall, NJ 07719-3763
Fax
732-681-0261
Last updated
October 15, 2007

Bassam Taher Kashlan is a Surgery based in Wall, NJ. Bassam Taher Kashlan practices in Wall, NJ and has the professional credentials of MD. The NPI Number for Bassam Taher Kashlan is 1093817637 and holds a License No. 25MA03019500 (NJ). The current practice location address for Bassam Taher Kashlan is 1540 State Route 138, Suite 201, Wall, NJ 07719-3763 and can be reached out via phone at 732-280-0020 and via fax at 732-681-0261.

Provider Profile Details

NPI Number
1093817637
Provider Name
Bassam Taher Kashlan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1540 State Route 138, Suite 201, Wall, NJ 07719-3763
Phone Number
732-280-0020
Fax Number
732-681-0261
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
September 3, 2006
Last Update Date
October 15, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1540 State Route 138
Suite 201
Wall, NJ 07719-3763
City
Wall
Zip
07719-3763
Phone Number
732-280-0020
Fax Number
732-681-0261
Wall, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
1540 State Route 138
Suite 201
Wall, NJ 07719-3763
City
Wall
State
NJ
Zip
07719-3763
Phone Number
732-280-0020
Fax Number
732-681-0261

License Information

License Number
25MA03019500
License State
NJ
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bassam T Kashlan, MD?

The NPI number of Dr. Bassam T Kashlan, MD is 1093817637. It was assigned on September 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bassam T Kashlan, MD?

Dr. Bassam T Kashlan, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA03019500.

Where does Dr. Bassam T Kashlan, MD practice?

The practice location is 1540 State Route 138, Suite 201, Wall, NJ 07719-3763. The office can be reached at 732-280-0020 (phone) or 732-681-0261 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093817637 directly on the NPPES registry website.

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