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Physician Last Name: | Basecki | |||
Physician First Name: | Tadeusz | |||
Physician Middle Name: | ||||
Address: | 300 Winston Drive Apartment 1709 Cliffside Park, New Jersey 07010 | |||
License Number: | 122645 | |||
License Type: | MD | |||
Year of Birth: | ||||
Effective Date: | 04/19/1996 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician admitted guilt to the charge of verbally abusing a pediatric patient. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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