Individual
DR. CRYSTAL THERESA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 404-3817
(609) 404-3818
Mailing address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 404-3817
(609) 404-3818
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA10347500
NJ
Other
Enumeration date
07/02/2012
Last updated
07/09/2021
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