Individual
BASIL M. MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 SOUTH ST, PITTSFIELD, MA 01201-8228
(413) 496-9272
(413) 442-6990
Mailing address
426 SOUTH ST, PITTSFIELD, MA 01201-8228
(413) 496-9272
(413) 442-6990
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
77277
MA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
77277
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
767791
TUFTS
MA
01
—
J16082
BC/BS
MA
Enumeration date
06/14/2006
Last updated
03/30/2023
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