Individual
ELISABETH C BASSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
392 CHESTNUT ST, NEEDHAM, MA 02492-2411
(617) 754-0650
Mailing address
392 CHESTNUT ST, NEEDHAM, MA 02492-2411
(617) 754-0650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80402
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140814
—
MA
Enumeration date
08/28/2006
Last updated
04/22/2013
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