Whalio Doctors

NPI 1053724674

Bastidas Plastic Surgery, PC

Organisation Plastic Surgery Physician Paterson, NJ

Practice location

Address
599 Broadway Unit 1a, Paterson, NJ 07514-1969
Phone
(610) 442-0992
Mailing address
5388 Rolling Hills Rd, Saylorsburg, PA 18353-8054

Authorised official

Name
Jaime a Bastidas
Title
President
Phone
(212) 734-6621

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 25MA07689900 (NJ)

Registry record

NPI
1053724674
Entity type
Organization
NPI issued
11 Jun 2014
Record last updated
3 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.