Individual
DR. BASIM JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 HARRISON AVE, FGH BUILDING 4TH FLOOR, BOSTON, MA 02118-2905
(617) 638-7933
Mailing address
28 9TH ST APT 707, MEDFORD, MA 02155-5167
(267) 243-5712
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DL11067
MA
Other
Enumeration date
10/16/2007
Last updated
10/25/2010
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