Doctor Name: | MR. ADONIS B BASSIL |
NPI Number: | 1487724183 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 40QA00657600 |
Business Practice Address: | 1900 State Route 33 Omni Center, First Floor, Suite 1a Neptune, NJ - 077534800 |
Business Phone Number: | 7325170700 |
Business Fax Number: | |
Mailing Address: | 7 Castle Ct, NORTH BRUNSWICK |
State: | NJ |
Postal Code: | 089024831 |
Phone Number: | 7324476447 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40QA00657600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |