Dr. Ghadeer I Basunbul
Prosthodontist
100 E Newton St Rm G-401
Boston
, Massachusetts 02118-2308
Dr. Ghadeer I Basunbul
Prosthodontist
100 E Newton St Rm G-401
Boston
, Massachusetts 02118-2308
(617) 638-4713
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Ghadeer I Basunbul
- 100 E Newton St Rm G-401
- Boston, MA
- Zip : 02118-2308
- Fax : (617) 638-4713
- Phone : (617) 638-4705
Second Address
- Dr. Ghadeer I Basunbul
- 100 E Newton St Rm G-401
- Boston, MA
- Zip : 02118-2308
- Fax : (617) 638-4713
- Phone : (617) 638-4705
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | DL10759 | MA |
National Provider Identifier
| NPI | 1033448550 |
|---|---|
| Provider Name | Dr. Ghadeer I Basunbul |
| First Address | Boston, MA 02118-2308 |
| Second Address | Boston, MA 02118-2308 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2009 |
| Last Update Date | 11/12/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.