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Individual

DIANE E BASICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1125 TRENTON HARBOURTON RD, TITUSVILLE, NJ 08560-1504
(609) 730-2035
(609) 730-2032
Mailing address
1125 TRENTON HARBOURTON RD, TITUSVILLE, NJ 08560-1504
(609) 730-2035

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00968000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0724157
NJ
Enumeration date
10/02/2019
Last updated
01/25/2024
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