Individual
CRAIG T BASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(857) 307-4000
Mailing address
60 STONECREST DR, NEEDHAM, MA 02492-2783
(617) 758-9846
(914) 560-2110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
206872
NY
207R00000X
Internal Medicine Physician
75491
MA
207RC0000X
Cardiovascular Disease Physician
206872
NY
207RC0000X
Cardiovascular Disease Physician
Primary
75491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01853983
—
NY
Enumeration date
10/16/2006
Last updated
02/24/2021
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