Denise S Basow, M.D.
Internal Medicine in Waltham, MA. Individual provider (NPI-1).
NPI number1609883255
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609883255
- Entity type
- Individual (NPI-1)
- Name
- Denise S Basow
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 77969 | MA | Yes |
Practice location
95 Sawyer RdWaltham, MA 02453-3471
Phone 781-392-2029
Mailing address
23 Darlene DrSouthborough, MA 01772-2056
Phone 781-392-2029
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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