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Individual

DR. MANJULA BASU

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FT MEADE, MD 20755-5800
(301) 677-8270
Mailing address
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FT MEADE, MD 20755-5800
(301) 677-8270

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0025252
MD

Other

Enumeration date
12/12/2005
Last updated
07/08/2007
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