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Individual

DR. HABIB FOUAD BASSIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2232 WILBORN AVE, SUITE A, SOUTH BOSTON, VA 24592-1662
(434) 572-8977
(434) 572-2510
Mailing address
4402 BRENTWOOD DR, SOUTH BOSTON, VA 24592-2955
(434) 572-1381
(434) 572-1381

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101044555
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005879817
VA
Enumeration date
04/26/2006
Last updated
09/15/2016
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