Individual
RICHARD M BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
369 SOUTH ST, SUITE 1, PITTSFIELD, MA 01201-6803
(413) 281-3752
Mailing address
369 SOUTH ST, PO BOX 1366, PITTSFIELD, MA 01201-6803
(413) 281-3752
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
43007
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9751785
—
MA
Enumeration date
10/19/2005
Last updated
08/24/2010
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