Individual
DENISE S BASOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
95 SAWYER RD, WALTHAM, MA 02453-3471
(781) 392-2029
Mailing address
23 DARLENE DR, SOUTHBOROUGH, MA 01772-2056
(781) 392-2029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77969
MA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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