Individual
JAMES C BASS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(978) 354-4432
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
203290
MA
2085R0202X
Diagnostic Radiology Physician
MD09191
RI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
203290
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001988
NHPRI
—
01
—
003122984
MED ASSISTANCE
CT
01
—
007006228
HOSPITAL PIN
—
01
—
009191
BLUESHIELD
—
01
—
1600203
UNITED HEALTH PLANS
—
05
—
2013231
—
MA
01
—
240541
RIH PILGRIM
—
01
—
3198243
HEALTHY START
—
01
—
401338
BLUECHIP
—
01
—
7006699
MEDICAL ASSISTANCE
RI
01
—
720071201
CIGNA
—
01
—
778790
TUFTS
—
Enumeration date
10/13/2005
Last updated
10/06/2022
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