Individual
MR. JAMES M BASTIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
28 DUBLIN DR, NEWARK, DE 19702-7708
(302) 295-5317
(302) 834-2365
Mailing address
28 DUBLIN DR, NEWARK, DE 19702-7708
(302) 295-5317
(302) 834-2365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1-0000206
DE
Other
Enumeration date
12/19/2009
Last updated
12/19/2009
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