Manola A Basa M.D.

NPI 1144222316 - Surgery - 208600000X

NPI Details
NPI 1144222316
Gender Male
Enumeration Date 06/01/2005
Last Updated 05/06/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
7603 ROUTE 54
BATH NY, 14810-7930, US
Phone (607) 776-4176
Fax (607) 776-1783
Business Location
7603 ROUTE 54
BATH NY, 14810-7930, US
Phone (607) 776-4176
Fax (607) 776-1783
Toxanomy
Taxonomy Code 208600000X
License State New York
License Number 137012
Remove 1144222316 NPI Number
 

According to our database, Dr. Manola A Basa M.D. NPI is 1144222316, taxonomy code is 208600000X and license number is 137012, license state is located at New York. Manola A Basa M.D. physically located at 7603 Route 54, Bath NY, 14810-7930. NPI Number Manola A Basa M.D. has the Individual type.

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1144222316 NPI number is provided on an as is basis without warranty of any kind. 1144222316 is maintained by the National Plan & Provider Enumeration System. The contents of Manola A Basa M.D. are for informational purposes only.