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Dr. Kevin R Basralian, MD
Specialist in Hackensack, New Jersey
NPI 1851392252

Kevin R Basralian is a Specialist based in Hackensack, NJ. Kevin R Basralian practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for Kevin R Basralian is 1851392252 and holds a License No. 25MA04654700 (New Jersey).

The current practice location address for Kevin R Basralian is 360 Essex St, Hackensack, NJ and can be reached out via phone at 551-996-8090 and via fax at 551-996-8221.

Location: 360 Essex St, Hackensack, NJ, 07601-8550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851392252
Provider Name
Kevin R Basralian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
360 Essex St, Hackensack, NJ, 07601-8550
Phone Number
551-996-8090
Fax Number
551-996-8221
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0457763 01 NJ AETNA HMO ID #
80D693 01 NJ BC/BS NY (HACKENSACK) #
4239813 01 NJ AETNA PPO ID #
BS138 01 NJ OXFORD ID #
1211200 05 NJ
5S1641 01 NJ BCBS NY CARLSTADT
0103347000 01 NJ AMERIHEALTH HMO ID #
340001947 01 NJ RAILROAD MDCR #
institution
Provider Business Practice Location Address Details
Address
360 Essex St
City
Hackensack
State
New Jersey
Zip
07601-8550
Phone Number
551-996-8090
Fax Number
551-996-8221
person
Provider Business Mailing Address Details
Address
360 Essex St
City
Hackensack
State
New Jersey
Zip
07601-8550
Phone Number
551-996-8090
Fax Number
551-996-8221
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA04654700 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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