Individual provider · Type 1 NPI

Marina Bastawross, DO

Student in an Organized Health Care Education/Training Program · Jersey City, NJ

NPI number 1922790765 Active

Practice location

176 Palisade Ave
Jersey City, NJ 07306-1121

Mailing address

129 S 20th Ave
Manville, NJ 08835-1639

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 1922790765

Marina Bastawross, DO's National Provider Identifier is 1922790765, issued on May 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jersey City, NJ. The record was last updated on May 22, 2023.