MEDICARE: ASHLEY J BASSETT 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	207X00000X	Orthopaedic Surgery Physician	L-255186	MA
2	207X00000X	Orthopaedic Surgery Physician	MT216830	PA

General Provider Information

NPI Number	:	1467899617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY J BASSETT MD

Provider Business Mailing Address
First Line	:	376 LAFAYETTE RD STE 202
Second Line	:
City	:	SPARTA
State	:	NJ
Zip	:	07871-3560
Country	:	US
Telephone Number	:	908-684-3005
Fax Number	:	908-684-3301

Provider Business Practice Location Address
First Line	:	376 LAFAYETTE RD STE 202
Second Line	:
City	:	SPARTA
State	:	NJ
Zip	:	07871-3560
Country	:	US
Telephone Number	:	908-684-3005
Fax Number	:	908-684-3301

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

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	06/19/2019

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