Individual
DR. JOHN HENRY BAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 285-8300
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 285-8300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD464735
PA
Other
Enumeration date
04/05/2011
Last updated
03/17/2026
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