Individual
PETER BASILIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 674-5600
Mailing address
277 PLEASANT ST STE 101, FALL RIVER, MA 02721-3005
(508) 672-0545
(508) 672-0547
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA01112
RI
363AS0400X
Surgical Physician Assistant
PA01112
RI
363AS0400X
Surgical Physician Assistant
Primary
PA8369
MA
Other
Enumeration date
03/20/2019
Last updated
01/16/2026
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