Individual
MR. ROBERT D BASOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W. MAIN ST., HOPKINTON, MA 01748
(508) 435-5506
(508) 497-5079
Mailing address
77 W. MAIN ST., HOPKINTON, MA 01748
(508) 435-5506
(508) 497-5079
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77306
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077306
TUFTS
MA
01
—
12-00014
UNITED HEALTHCARE
MA
01
—
200901
HARVARD PILGRIM
MA
01
—
2134656
AETNA
MA
05
—
3117715
—
MA
01
—
B10327101
CIGNA
MA
01
—
J14122
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
06/06/2006
Last updated
10/28/2009
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