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Individual

DR. ALAN L. BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

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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