Individual
INES BASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606-1244
(508) 334-2537
(508) 762-5410
Mailing address
100 CENTURY DR, WORCESTER, MA 01606-1244
(508) 334-2537
(508) 762-5410
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/22/2020
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