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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAIME A BASTIDAS, M.D.

Active Sole Proprietor

DR. JAIME A BASTIDAS, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in PHILLIPSBURG, New Jersey. NPI 1992807705 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · PHILLIPSBURG, NJ

Registration Details

NPI Number
1992807705
Provider Type
Individual
Gender
Male
NPI Issued
Sep 2, 2006 (19.958816653823 yrs)
Last Updated
Aug 7, 2015
Licenses
MD422370 (PA)
25MA07689900 (NJ)
MD422370 (PA)
25MA07689900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
244 ROSEBERRY ST.
SUITE #5
PHILLIPSBURG, NJ, 08865
Browse NJ providers · Browse ZIP 08865
Phone
9084541704
Fax
9084541706
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
Additional Specialty
Specialist
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.