Individual
DR. MICHAEL J BASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
540 E BELVEDERE AVE, SUITE 200, BALTIMORE, MD 21212-3750
(410) 323-4500
(410) 323-5883
Mailing address
9601 PULASKI PARK DR, SUITE 416, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
(410) 933-1823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01110
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1647543
CAQH
MD
01
—
302510
CAREFIRST
MD
Enumeration date
11/10/2005
Last updated
06/16/2015
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