Individual
DR. PHILIP ANTHONY BASALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
POTOMAC VALLEY HOSPITAL, 100 PIN OAK LANE, KEYSER, WV 26726
(304) 597-3510
(304) 597-3513
Mailing address
328 SUNNY MEADOWS LN, SWANTON, MD 21561-2677
(412) 848-2631
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
1245
WV
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
H0099654
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012925630006
—
PA
Enumeration date
07/30/2006
Last updated
04/04/2024
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