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Individual
DR. JACOB BASAK
Active
Individual
DR. JACOB BASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2014018054
MO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
DR.0062061
CO
Other
Enumeration date
06/17/2014
Last updated
08/27/2019
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