Individual
MR. SHLOMO MEIR BASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
725 AIRPORT RD STE 7G, LAKEWOOD, NJ 08701-5968
(848) 240-1789
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(848) 240-1789
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07030100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
11/13/2023
Last updated
11/13/2023
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