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Contact Information

TARA K BASTEK, MD
3000 NEW BERN AVE
NEONATOLOGY DEPT.
RALEIGH, NC27610-1231
 Phone: 919-350-8545
 Fax: 919-350-8146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TARA K BASTEK · (Female)

NPI # 1316956774
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 03/12/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9900162
  • NC Medicaid 891203C
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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