Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 157683 | MA |
N | 111NI0900X | Internist | 157683 | MA |
Y | 207RI0200X | Infectious Disease | 157683 | MA |
NPI | 1003944604 |
---|---|
Provider Name | Dr. Bela Rosa Bashar |
First Address | Chestnut Hill, MA 02467-3203 |
Second Address | Roxbury, MA 02119-1029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 11/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H28938 | (02) | MA |