Organization
SHANTANU BASU MD PC
Active
Parent organization
SHANTANU BASU MD PC
Other names
Shantanu basu md pc
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANTANU BASU MD PC
Authorized official
DR. SHANTANU G BASU (GENERAL SURGERY)
(617) 277-5587
Entity
Organization
Contact information
Practice address
125 PARKER HILL AVE, SUITE 385, ROXBURY CROSSING, MA 02120-2847
(617) 277-5587
(617) 232-1660
Mailing address
125 PARKER HILL AVE, SUITE 385, ROXBURY CROSSING, MA 02120-2847
(617) 277-5587
(617) 232-1660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129127
—
MA
Enumeration date
12/05/2007
Last updated
12/05/2007
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