Individual
MS. THERESA MARY BASESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 ALLIANCE DR STE 10, HAZLETON, PA 18202-3234
(570) 501-6450
(570) 501-6436
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(705) 790-2391
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS007866L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015282730014
—
PA
Enumeration date
07/03/2006
Last updated
01/08/2024
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