Individual provider · Type 1 NPI

Tina Bastin, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1114865896 Active

Practice location

801 Massachusetts Ave Fl 6
Boston, MA 02118-2605

Fax (617) 414-9251

Mailing address

1 Boston Medical Ctr Pl Ste 1
Boston, MA 02118-2999

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114865896

Tina Bastin, MD's National Provider Identifier is 1114865896, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 25, 2026.