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Contact Information

BASTIDAS PLASTIC SURGERY, PC
599 BROADWAY
UNIT 1A
PATERSON, NJ07514-1969
 Phone: 610-442-0992
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BASTIDAS PLASTIC SURGERY, PC

NPI Number 1053724674
LBN Legal business name BASTIDAS PLASTIC SURGERY, PC
Authorized official JAIME BASTIDAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2014
Last updated 07/03/2024 - More than a year ago
Identifiers
NJ License # 25MA07689900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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