Organization
PHILIP A. BASALA, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ANTHONY BASALA D.O. (PHYSICIAN OWNER)
(814) 445-1096
Entity
Organization
Contact information
Practice address
792 N CENTER AVE, SOMERSET, PA 15501-1026
(814) 445-1096
(814) 445-8005
Mailing address
792 N CENTER AVE, SOMERSET, PA 15501-1026
(814) 445-1096
(814) 445-8005
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OS007402E
PA
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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