Individual
DR. PASCALE BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8008 ROUTE 130 N, SUITE 204, DELRAN, NJ 08075-1869
(856) 824-0099
(856) 824-0088
Mailing address
8008 ROUTE 130 NORTH, SUITE 204, DELRAN, NJ 08075-1869
(856) 824-0099
(856) 824-0088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06491100
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
MA64911
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7109407
—
NJ
Enumeration date
06/27/2006
Last updated
01/02/2020
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