Individual
MISS BAHAR BAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A.-C
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-2848
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-2848
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013929
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013929
NYS LICENSE
NY
Enumeration date
05/21/2010
Last updated
03/09/2026
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