Dr. Mitchell B. Basel
Gastroenterologist
250 Green Street Suite 212
Gardner
, Massachusetts 01440
Dr. Mitchell B. Basel
Gastroenterologist
250 Green Street Suite 212
Gardner
, Massachusetts 01440
(978) 632-0516
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Mitchell B. Basel
- 250 Green Street Suite 212
- Gardner, MA
- Zip : 01440
- Fax : (978) 632-0516
- Phone : (978) 669-5660
Second Address
- Dr. Mitchell B. Basel
- 250 Green Street Suite 212
- Gardner, MA
- Zip : 01440
- Fax : (978) 632-0516
- Phone : (978) 669-5660
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 242251 | MA |
| N | 207RG0100X | Gastroenterologist | 6515 | RI |
National Provider Identifier
| NPI | 1043276611 |
|---|---|
| Provider Name | Dr. Mitchell B. Basel |
| First Address | Gardner, MA 01440 |
| Second Address | Gardner, MA 01440 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2006 |
| Last Update Date | 17/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110173964 | RR MEDICARE (01) | |
| 204965 | BCBS (01) | |
| 9020496 | (05) | RI |
| C90084 | (02) |
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.