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Marina Bastawross, DO
Student in an Organized Health Care Education/Training Program in Jersey City, New Jersey
NPI 1922790765

Marina Bastawross is a Student in an Organized Health Care Education/Training Program based in Manville, NJ. Marina Bastawross practices in Jersey City, NJ and has the professional credentials of DO. The NPI Number for Marina Bastawross is 1922790765 and holds a License No. (New Jersey).

The current practice location address for Marina Bastawross is 176 Palisade Ave, Jersey City, NJ and can be reached out via phone at 201-795-8200.

Location: 176 Palisade Ave, Jersey City, NJ, 08835-1639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922790765
Provider Name
Marina Bastawross
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
176 Palisade Ave, Jersey City, NJ, 08835-1639
Phone Number
201-795-8200
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
176 Palisade Ave
City
Jersey City
State
New Jersey
Zip
07306-1121
Phone Number
201-795-8200
Fax Number
person
Provider Business Mailing Address Details
Address
176 Palisade Ave
City
Jersey City
State
New Jersey
Zip
07306-1121
Phone Number
201-795-8200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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