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Individual

DR. ROBERT ANTHONY BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6679
(215) 456-8502
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-8735
(215) 456-7000
(215) 254-2599

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11013315A
IN
207P00000X
Emergency Medicine Physician
Primary
OS016399
PA
207P00000X
Emergency Medicine Physician
P0341
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
284465601
TX
05
34809350
NM
Enumeration date
06/08/2007
Last updated
06/03/2013
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