Individual
PHILIP BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
330 MOUNT AUBURN ST, DIVISION OF PODIATRY, CAMBRIDGE, MA 02138-5502
(617) 499-5065
(617) 321-4075
Mailing address
464 COMMON ST # 307, BELMONT, MA 02478-2704
(888) 352-0082
(617) 321-4075
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PD1920
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358053
—
MA
Enumeration date
06/05/2006
Last updated
02/19/2011
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