Individual
DR. JAYATI BASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1608 LEMOINE AVE, FORT LEE, NJ 07024-5622
(201) 346-1112
Mailing address
208 BENNINGTON TER, PARAMUS, NJ 07652-1334
(201) 845-7721
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA44176
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0875708
—
NJ
Enumeration date
11/29/2006
Last updated
07/08/2007
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