Provider Demographics
NPI:1629398763
Name:HAL J BASHEIN DO PA
Entity Type:Organization
Organization Name:HAL J BASHEIN DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAL
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:BASHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-848-8700
Mailing Address - Street 1:2051 45TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2027
Mailing Address - Country:US
Mailing Address - Phone:561-848-8700
Mailing Address - Fax:561-848-7070
Practice Address - Street 1:2051 45TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2027
Practice Address - Country:US
Practice Address - Phone:561-848-8700
Practice Address - Fax:561-848-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty