Individual
DR. ELIE LESLIE BASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 COOPER PLZ DEPT OF, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB12165800
NJ
207L00000X
Anesthesiology Physician
OS015079
PA
Other
Enumeration date
02/15/2009
Last updated
07/12/2024
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