Individual
EDWIG BASIL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 S WARNER RD, SUITE 160, KING OF PRUSSIA, PA 19406-2826
(610) 254-9500
(610) 254-9501
Mailing address
150 S WARNER RD, SUITE 160, KING OF PRUSSIA, PA 19406-2826
(610) 254-9500
(610) 254-9501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD043389E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001211162-0040
—
PA
Enumeration date
12/02/2005
Last updated
07/08/2007
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