Individual
MELBA MALARAN-BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 THANKSGIVING LN, CLIFTON, NJ 07013-2529
(973) 523-7580
Mailing address
46 THANKSGIVING LN, CLIFTON, NJ 07013-2529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00643300
NJ
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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