Individual
NEIL ANJAN BASUMALLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1639 WOODBROOKE DR, SALISBURY, MD 21804-8502
(410) 543-7475
Mailing address
1639 WOODBROOKE DR, SALISBURY, MD 21804-8502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0097335
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
10/19/2023
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