Individual
SAMER S. BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8835 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2718
(215) 248-8568
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD417375
PA
207R00000X
Internal Medicine Physician
MD417375
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019395640006
—
PA
Enumeration date
01/03/2007
Last updated
08/09/2024
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