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Individual

DR. GHASSAN G. BASSIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4470
(973) 473-3367
Mailing address
2 HERRMAN WAY, TOWACO, NJ 07082-1500
(973) 365-4470
(973) 473-3367

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA04361600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0145725
GHI PPO
NJ
01
015RD1
EMPIRE BC/BS OF NY CLIFTON
NJ
01
015RD2
EMPIRE BC/BS OF NY W PATERSON
NJ
01
015RD3
EMPIRE BC/BS OF NY WAYNE
NJ
01
2862682000
AMERIHEALTH
NJ
01
3K5166
HEALTHNET
NJ
01
P00404009
RAILROAD MEDICARE
NJ
Enumeration date
12/14/2006
Last updated
06/03/2008
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