Individual
DR. DEV ADITYA GAUTAM BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
913 SOUTHERLY ROAD, #264, TOWSON, MD 21204-2629
(410) 275-9164
(410) 275-9164
Mailing address
913 SOUTHERLY ROAD, #264, TOWSON, MD 21204-2629
(410) 275-9164
(410) 275-9164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0079832
MD
Other
Enumeration date
07/19/2011
Last updated
02/21/2023
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