Organization
BASILE NJEI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASILE NJEI MD (OWNER)
(475) 227-5537
Entity
Organization
Contact information
Practice address
601 WASHINGTON ST # A, CUMBERLAND, MD 21502
(475) 227-5537
Mailing address
1515 FLORIDA AVE, SEVERN, MD 21144-2603
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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