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Individual
MR. ROBERT D BASOW
Active
Individual
MR. ROBERT D BASOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77306
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077306
TUFTS
MA
01
—
12-00014
UNITED HEALTHCARE
MA
01
—
200901
HARVARD PILGRIM
MA
01
—
2134656
AETNA
MA
05
—
3117715
—
MA
01
—
B10327101
CIGNA
MA
01
—
J14122
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
06/06/2006
Last updated
10/28/2009
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