Individual
DR. MICHAEL ANGELO BASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 4TH ST SE, WASHINGTON, DC 20003-3440
(202) 262-3262
(202) 484-0308
Mailing address
1115 4TH ST SE, WASHINGTON, DC 20003-3440
(202) 262-3262
(202) 484-0308
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
D0072935
MD
207VG0400X
Gynecology Physician
Primary
G88898
CA
207VG0400X
Gynecology Physician
MD039630
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136435807
—
TX
Enumeration date
09/10/2007
Last updated
09/17/2014
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