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Individual

ERIN BASTIDAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
146 S READING AVE, SUITE 101, BOYERTOWN, PA 19512-1480
(610) 369-7121
(610) 369-0389
Mailing address
PO BOX 13579, READING, PA 19612-3579

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014699
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102476325
PA
01
193479
MEDICARE
PA
Enumeration date
05/21/2007
Last updated
11/04/2014
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