Individual
CAROLINE BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
75 BIRCH AVE, NORTH CALDWELL, NJ 07006-4582
(862) 452-5125
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MB11549900
NJ
Other
Enumeration date
04/10/2019
Last updated
06/11/2025
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