Individual
ANDRIY BASHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-3145
Mailing address
1531 GREGG ST UNIT A, PHILADELPHIA, PA 19115-4283
(215) 436-7006
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP024626
PA
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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