Individual
DR. MAURICIO BASSANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 395-2237
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37809
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2009
Last updated
07/08/2015
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