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Individual

KRISTA J BASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2106 NEW RD STE D8, LINWOOD, NJ 08221-1050
(609) 927-1030
(609) 927-9985
Mailing address
PO BOX 306698, NASHVILLE, TN 37230-6698
(609) 927-1030
(609) 927-9985

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00503200
NJ
363A00000X
Physician Assistant
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
25MP00503200
NJ

Other

Enumeration date
06/13/2018
Last updated
04/13/2026
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