person
Dr. Jaime A Bastidas, MD
Plastic and Reconstructive Surgery Physician in Phillipsburg, New Jersey
NPI 1992807705

Jaime A Bastidas is a Plastic and Reconstructive Surgery Physician based in Phillipsburg, NJ and is specialized in Plastic and Reconstructive Surgery. Jaime A Bastidas practices in Phillipsburg, NJ and has the professional credentials of MD. The NPI Number for Jaime A Bastidas is 1992807705 and holds a License No. MD422370 (New Jersey).

The current practice location address for Jaime A Bastidas is 244 Roseberry St., Phillipsburg, NJ and can be reached out via phone at 908-454-1704 and via fax at 908-454-1706.

Location: 244 Roseberry St., Phillipsburg, NJ, 08865
person
Provider Profile Details
NPI Number
1992807705
Provider Name
Jaime A Bastidas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
244 Roseberry St., Phillipsburg, NJ, 08865
Phone Number
908-454-1704
Fax Number
908-454-1706
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
074448ZH1E 01 NJ MEDICARE PTAN
074448UK1 01 NJ MEDICARE PTAN
073750 01 PA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
244 Roseberry St.
City
State
Zip
08865
Phone Number
908-454-1704
Fax Number
908-454-1706
person
Provider Business Mailing Address Details
Address
244 Roseberry St.
City
State
Zip
08865
Phone Number
908-454-1704
Fax Number
908-454-1706
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
25MA07689900 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MD422370 (Pennsylvania)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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