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Individual

JOHN JOSEPH BASILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3020 HAMAKER CT, SUITE B-111, FAIRFAX, VA 22031-2220
(703) 876-0288
(703) 876-0290
Mailing address
3020 HAMAKER COURT, SUITE B-111, FAIRFAX, VA 22031-2220
(703) 876-0288
(703) 876-0290

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101043115
VA

Other

Enumeration date
02/21/2006
Last updated
04/24/2008
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