James Dominic Basher, RRA
Radiology Practitioner Assistant in New Haven, CT. Individual provider (NPI-1).
NPI number1457051310
StatusActive
Last updated in NPPESMar 8, 2023
Details
- NPI
- 1457051310
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Dominic Basher
- Credential
- RRA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Mar 8, 2023
- Last updated
- Mar 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 243U00000X | Radiology Practitioner Assistant | 7781 | CT | Yes |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-688-5916
Mailing address
20 York StNew Haven, CT 06510-3220
Phone 203-688-5916
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