Individual
MARIA THERESA G BASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MCGREGOR STREET, MANCHESTER, NH 03102
(603) 663-6340
(603) 663-6822
Mailing address
100 MCGREGOR STREET, MANCHESTER, NH 03102
(603) 663-6340
(603) 663-6822
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15819
NH
Other
Enumeration date
10/19/2012
Last updated
01/07/2013
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