Individual
JOHN JUDE BASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3 PROGRESS ST, SUITE 107, EDISON, NJ 08820-1180
(908) 222-9696
(908) 222-9698
Mailing address
3 PROGRESS ST, SUITE 107, EDISON, NJ 08820-1180
(908) 222-9696
(908) 222-9698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA02804
NJ
Other
Enumeration date
06/26/2006
Last updated
05/17/2012
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