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Individual

DR. BASEL BAGHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1 MAYWOOD AVE, MAYWOOD, NJ 07607-1001
(201) 464-4755
(201) 464-4758
Mailing address
1 MAYWOOD AVE, MAYWOOD, NJ 07607-1001
(201) 464-4755
(201) 464-4758

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB10634800
NJ

Other

Enumeration date
03/27/2016
Last updated
02/02/2021
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