Sanjay Basu
Internist Internist - Addiction Medicine
200 Groton Rd
Ayer
, Massachusetts 01432-1168
Sanjay Basu
Internist Internist - Addiction Medicine
200 Groton Rd
Ayer
, Massachusetts 01432-1168
(978) 784-9000
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Sanjay Basu
- 200 Groton Rd
- Ayer, MA
- Zip : 01432-1168
- Phone : (978) 784-9000
Second Address
- Sanjay Basu
- 200 Groton Rd
- Ayer, MA
- Zip : 01432-1168
- Phone : (978) 784-9000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 227832 | MA |
| Y | 111NI0900X | Internist | 227832 | MA |
| N | 207RA0401X | Internist - Addiction Medicine | 227832 | MA |
National Provider Identifier
| NPI | 1285682450 |
|---|---|
| Provider Name | Sanjay Basu |
| First Address | Ayer, MA 01432-1168 |
| Second Address | Ayer, MA 01432-1168 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 17/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I22095 | (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.