Individual
DR. ALAN L. BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
701 TENNENT RD STE 101, MANALAPAN, NJ 07726-3193
(732) 866-4411
(732) 866-0044
Mailing address
701 TENNENT RD STE 101, MANALAPAN, NJ 07726-3193
(732) 866-4411
(732) 866-0044
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD00231100
NJ
213EP1101X
Primary Podiatric Medicine Podiatrist
N005169-1
NY
Other
Enumeration date
10/22/2005
Last updated
04/10/2018
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