Individual
DR. RAYMOND JOHN BASTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4 THRUSH DR, EAST BRUNSWICK, NJ 08816-2726
(732) 257-3510
(732) 257-3510
Mailing address
4 THRUSH DR, EAST BRUNSWICK, NJ 08816-2726
(732) 257-3510
(732) 257-3510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1007519
NJ
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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