Individual
BASAK BASDAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(866) 644-8910
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
275371
MA
208M00000X
Hospitalist Physician
275371
MA
Other
Enumeration date
02/25/2013
Last updated
08/24/2018
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