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Amy Lynn Basile, D.O., MPH

Dermatology in Media, PA. Individual provider (NPI-1).

NPI number1487897617
StatusActive
Last updated in NPPESJun 20, 2012

Details

NPI
1487897617
Entity type
Individual (NPI-1)
Name
Amy Lynn Basile
Credential
D.O., MPH
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2009
Last updated
Jun 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyOS016111PAYes

Practice location

1088 W Baltimore Pike
Suite 2506
Media, PA 19063-5146

Phone 610-566-7300 · Fax 610-891-8973

Mailing address

1088 W Baltimore Pike
Suite 2506
Media, PA 19063-5146

Phone 610-566-7300 · Fax 610-891-8973

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