MEDICARE: ARNAUD BASTIEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MA66225	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	110157952	OTHER		RAIL RAOD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1855224	OTHER	UNITED HEALTH CARE
2	P2885262	OTHER	OXFORD HEALTH PLAN
3	11531	OTHER	AMERIHEALTH PPO
4	19122	OTHER	UNIVERSITY HEALTH PLAN
5	1009018	OTHER	AETNA US-HEALTHCARE
6	1091812	OTHER	HORIZON NJ HEALTH
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	0459819000	OTHER	AMERIHEALTH HMO, KEYSTONE, IBC
10	37070	OTHER	AMERIGROUP
11	CA0000232 05	OTHER	AMERICHOICE

General Provider Information

NPI Number	:	1619065927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNAUD BASTIEN MD

Provider Business Mailing Address
First Line	:	3 COOPER PLZ
Second Line	:	SUITE 502
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1438
Country	:	US
Telephone Number	:	856-968-7433
Fax Number	:

Provider Business Practice Location Address
First Line	:	446 WHITE HORSE PIKE N
Second Line	:
City	:	MAGNOLIA
State	:	NJ
Zip	:	08049-1405
Country	:	US
Telephone Number	:	856-782-7121
Fax Number	:	856-782-7231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	06/16/2008

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Directions to “ ARNAUD BASTIEN MD” Practice Location

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