Individual
DR. BASSAM TAHER KASHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 STATE ROUTE 138, SUITE 201, WALL, NJ 07719-3763
(732) 280-0020
(732) 681-0261
Mailing address
1540 STATE ROUTE 138, SUITE 201, WALL, NJ 07719-3763
(732) 280-0020
(732) 681-0261
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03019500
NJ
Other
Enumeration date
09/03/2006
Last updated
10/15/2007
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