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Contact Information

MICHAEL P BASISTA, MD
1355 BROAD ST
CLIFTON, NJ07013-4221
 Phone: 973-778-5566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL P BASISTA · (Male)

NPI # 1639112501
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 08/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA035109
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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