DR. Kevin R Basralian, M.D.
NPI #1851392252 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1851392252
- Entity Type
- Individual
- Name
- DR. Kevin R Basralian, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Dec 16, 2014
Practice Location
- Address
- 360 ESSEX ST
- Address 2
- SUITE 403
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-8550
- Phone
- (551) 996-8090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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