Organization
DELRAN INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW P BASARA JR. MD (PHYSICIAN)
(856) 764-2525
Entity
Organization
Contact information
Practice address
5045 RTE 130 S, STE E, DELRAN, NJ 08075-9707
(856) 764-2525
(856) 764-6344
Mailing address
5045 RTE 130 S, STE E, DELRAN, NJ 08075-9707
(856) 764-2525
(856) 764-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA57034
NJ
Other
Enumeration date
01/08/2007
Last updated
12/18/2009
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