Adonis B Bassil, P.T.
Specialist in Neptune, NJ. Individual provider (NPI-1).
NPI number1487724183
StatusActive
Last updated in NPPESJul 30, 2020
Details
- NPI
- 1487724183
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adonis B Bassil
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2006
- Certification date
- Jul 30, 2020
- Last updated
- Jul 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 40QA00657600 | NJ | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | 40QA00657600 | NJ |
Practice location
1900 State Route 33Omni Center, First Floor, Suite 1a
Neptune, NJ 07753-4800
Phone 732-517-0700
Mailing address
1900 State Rt 33 First Floor Suite 1aNeptune, NJ 07753-4800
Phone 732-517-0700 · Fax 732-517-0702
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