Individual
AMY LYNN BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., MPH
Contact information
Practice address
1088 W BALTIMORE PIKE, SUITE 2506, MEDIA, PA 19063-5146
(610) 566-7300
(610) 891-8973
Mailing address
1088 W BALTIMORE PIKE, SUITE 2506, MEDIA, PA 19063-5146
(610) 566-7300
(610) 891-8973
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS016111
PA
Other
Enumeration date
04/17/2009
Last updated
06/20/2012
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