Individual
MAYA ALEXA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.A.
Contact information
Practice address
401 HADDON AVE, CAMDEN, NJ 08103-1505
(848) 288-6935
(732) 790-0107
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11105100
NJ
207Q00000X
Family Medicine Physician
MD456215
PA
Other
Enumeration date
05/06/2013
Last updated
09/18/2025
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