Individual provider · Type 1 NPI
Jaime A. Bastidas, MD
Plastic and Reconstructive Surgery Physician · Phillipsburg, NJ
NPI number
1992807705
Active
Practice location
244 Roseberry St., Suite #5
Phillipsburg, NJ 08865
Fax (908) 454-1706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | MD422370 (PA) |
| Specialist | 174400000X | 25MA07689900 (NJ) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | MD422370 (PA) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 25MA07689900 (NJ) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1992807705
Jaime A. Bastidas, MD's National Provider Identifier is 1992807705, issued on Sep 2, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Phillipsburg, NJ. The record was last updated on Aug 7, 2015.