Individual
DR. SHANTANU G BASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 CONCORD RD, WESTON, MA 02493-1340
(617) 447-5467
Mailing address
150 CONCORD RD, WESTON, MA 02493-1340
(617) 447-5467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44318
MA
Other
Enumeration date
10/18/2006
Last updated
08/11/2015
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