Individual
GREGORY BASMAJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA,ATC
Contact information
Practice address
120 VASSAR ST, CAMBRIDGE, MA 02139-4311
(978) 697-4572
Mailing address
5 MICHAEL LN, HAVERHILL, MA 01830-2272
(978) 697-4572
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2441
MA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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