Individual
DR. WILLIAM A DEBASSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 ALBANY ST, SHAPIRO 8, BOSTON, MA 02118-2526
(617) 414-4841
(617) 414-4502
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
44370
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
44370
MA
2084N0600X
Clinical Neurophysiology Physician
44370
MA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
44370
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110005058A
—
MA
Enumeration date
10/13/2005
Last updated
05/29/2014
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