Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA BAST, PA
ActiveDIANA BAST, PA is a Surgical Physician Assistant healthcare provider located in QUAKERTOWN, Pennsylvania. NPI 1568657641 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · QUAKERTOWN, PA
Registration Details
- NPI Number
- 1568657641
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2007 (18.914934725771 yrs)
- Last Updated
- May 31, 2016
- Licenses
-
25MP00181700 (NJ)MA057632 (PA)
Practice Information
- Address
-
1534 PARK AVESUITE 210QUAKERTOWN, PA, 189511084Browse PA providers · Browse ZIP 18951
- Phone
- 2674248850
- Fax
- 2155387907
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.