Individual
JAMES FORSTER BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 CENTRE STREET, SOUTHERN JAMAICA PLAIN HEALTH CENTER, JAMAICA PLAIN, MA 02130
(617) 983-4100
Mailing address
111 CYPRESS ST, BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION, BROOKLINE, MA 02445
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
157239
MA
Other
Enumeration date
07/03/2006
Last updated
08/03/2012
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