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Organization
PRITHWIJIT BASU MD PC
Active
Organization
PRITHWIJIT BASU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRITHWIJIT BASU MD (PRESIDENT)
(718) 897-0584
Entity
Organization
Contact information
Practice address
5 STATION SQ, FOREST HILLS, NY 11375-5232
(718) 897-0584
(718) 896-5571
Mailing address
5 STATION SQ, FOREST HILLS, NY 11375-5232
(718) 897-0584
(718) 896-5571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
190318
NY
207RG0100X
Gastroenterology Physician
Primary
190318
NY
207RI0008X
Hepatology Physician
190318
NY
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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