Individual
MR. BASIL J BACCASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2145 ROUTE 35 STE 24, HOLMDEL, NJ 07733-1163
(732) 264-9494
(732) 855-9755
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(732) 855-9751
(732) 855-9755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00241800
NJ
Other
Enumeration date
06/15/2005
Last updated
07/21/2022
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