Basilico, Frederick Calvin
Basilico, Frederick Calvin is an sole proprietor health care provider with primary practice located at 125 Parker Hill Ave Ste 450, Roxbury Crossing MA 02120-2847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Basilico, Frederick Calvin can be contacted via phone (617) 754-5910.Contact Information
Primary practice address
125 Parker Hill Ave Ste 450
Roxbury Crossing MA 02120-2847
Phone: (617) 754-5910
Fax: (617) 754-5950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 41593 | Massachusetts |
Profile Details
| NPI number | 1316946882 |
|---|---|
| LBN Legal business name | Basilico, Frederick Calvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Dec 15th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316946882 | NPPES |
| Massachusetts | MEDICAID | 0100153 | |
| Massachusetts | Other | 2500051 | |
| Massachusetts | Other | 3039 |
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