Individual provider · Type 1 NPI

Kevin R. Basralian, MD

Specialist · Hackensack, NJ

NPI number 1851392252 Active

Practice location

360 Essex St, Suite 403
Hackensack, NJ 07601-8550

Fax (551) 996-8221

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA04654700 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1851392252

Kevin R. Basralian, MD's National Provider Identifier is 1851392252, issued on Aug 9, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hackensack, NJ. The record was last updated on Dec 16, 2014.