Individual
MARIA BASTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3111 ROUTE 38, BLDG 11 PMB 104, MOUNT LAUREL, NJ 08054-9754
(609) 410-6498
(609) 288-6504
Mailing address
14 FOX CT, HAINESPORT, NJ 08036-4807
(609) 410-6498
(609) 288-6504
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07793000
NJ
Other
Enumeration date
09/13/2006
Last updated
04/22/2025
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