Individual
CARLA MARISA BASADRE QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
147 PELHAM ST, METHUEN, MA 01844-2060
(978) 683-3491
(978) 683-3058
Mailing address
147 PELHAM ST, METHUEN, MA 01844-2060
(978) 683-3491
(978) 683-3058
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
277313
MA
Other
Enumeration date
06/22/2015
Last updated
09/03/2019
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