Dr. Philip Anthony Basala
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
517 Georgian Pl
Somerset
, Pennsylvania 15501-1613
Dr. Philip Anthony Basala
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
517 Georgian Pl
Somerset
, Pennsylvania 15501-1613
(814) 445-8005
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Philip Anthony Basala
- 517 Georgian Pl
- Somerset, PA
- Zip : 15501-1613
- Fax : (814) 445-8005
- Phone : (814) 445-1096
Second Address
- Dr. Philip Anthony Basala
- 517 Georgian Pl
- Somerset, PA
- Zip : 15501-1613
- Fax : (814) 445-8005
- Phone : (814) 445-1096
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | OS007402E | PA |
| N | 207VG0400X | Gynecologist | OS007402E | PA |
National Provider Identifier
| NPI | 1558376137 |
|---|---|
| Provider Name | Dr. Philip Anthony Basala |
| First Address | Somerset, PA 15501-1613 |
| Second Address | Somerset, PA 15501-1613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2006 |
| Last Update Date | 12/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0012925630006 | (05) | PA |
| E90635 | (02) | PA |
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.