Individual
MATTHEW BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
75 LINDALL ST, DANVERS, MA 01923-2121
(978) 774-4400
(978) 777-1462
Mailing address
75 LINDALL ST, DANVERS, MA 01923-2121
(978) 774-4400
(978) 777-1462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN140969
MA
Other
Enumeration date
10/18/2005
Last updated
11/14/2023
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