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Contact Information

BASIL J BACCASH, PT
2145 ROUTE 35 STE 24
HOLMDEL, NJ07733-1163
 Phone: 732-264-9494
 Fax: 732-855-9755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BASIL J BACCASH · (Male)

NPI # 1730184037
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/15/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 40QA00241800
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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