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Individual

DAVID BASSILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(145) 345-5858
(814) 534-5123
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9104
(814) 534-3559

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT212362
PA

Other

Enumeration date
01/23/2017
Last updated
06/22/2020
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