Michael Paul Basista, M.D. Valid NPI

Individual provider · Family Medicine Physician · Clifton, NJ

NPI

1639112501

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

MA035109 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-14

Last updated

2007-08-08