Individual
MRS. MARINA RADISIC-BASOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1061 PLEASANT ST, NEW BEDFORD, MA 02740
(508) 984-5566
(508) 994-5527
Mailing address
11 NANCY ROAD, #8, SOUTH EASTON, MA 02375
(508) 230-0395
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
222997
MA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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