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Individual

BASIMAH ALBALOOSHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 590-7000
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2990

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MD484345
PA
208600000X
Surgery Physician
276904
MA

Other

Enumeration date
07/10/2018
Last updated
06/21/2024
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