Individual
DR. DANIEL MARK BASSELGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 398-1990
(772) 398-1915
Mailing address
30 AZALEA DR, APALACHIN, NY 13732-4314
(607) 744-2856
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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