Individual
MISHA BASALAEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
561 CRANBURY RD, EAST BRUNSWICK, NJ 08816-5400
(732) 390-7400
(732) 390-1900
Mailing address
561 CRANBURY RD, EAST BRUNSWICK, NJ 08816-5400
(732) 390-7400
(732) 390-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05320800
NJ
Other
Enumeration date
06/03/2006
Last updated
08/07/2019
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