Individual
DR. HEIDI PETRA BAS
Active
Individual
DR. HEIDI PETRA BAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
224204
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103524
—
MA
01
—
468380
TUFTS HEALTH PLAN
MA
01
—
J28769
BCBS MA
MA
Enumeration date
07/04/2006
Last updated
11/12/2024
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