Individual
DAVID BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8613
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8613
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
1022516
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
05/13/2026
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