Basile, Philip

Basile, Philip is an individual health care provider with primary practice located at 330 Mount Auburn St Division Of Podiatry, Cambridge MA 02138-5502. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Basile, Philip can be contacted via phone (617) 499-5065.

Contact Information

Primary practice address
330 Mount Auburn St Division Of Podiatry Cambridge MA 02138-5502
Phone: (617) 499-5065
Fax: (617) 321-4075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PD1920 Massachusetts

Profile Details

NPI number 1316986342
LBN Legal business name Basile, Philip
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316986342 NPPES
Massachusetts MEDICAID 0358053

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