Individual provider · NPI-1

Dr. Marwan Bassil Bassil, D.M.D.

Dentist, General Practice · Bridgewater, NJ

NPI number1801916614
StatusActive
Last updated in NPPESFeb 19, 2015

Details

NPI
1801916614
Entity type
Individual (NPI-1)
Name
Dr. Marwan Bassil Bassil
Credential
D.M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 29, 2007
Last updated
Feb 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDI 20751NJYes

Practice location

676 Route 202/206
Bridgewater, NJ 08807-1761

Phone 908-722-6666 · Fax 908-722-6667

Mailing address

676 Route 202/206
Bridgewater, NJ 08807-1761

Phone 908-722-6666 · Fax 908-722-6667

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