Dr. Nisha Ann Basu, MD
Internal Medicine in Watertown, MA. Individual provider (NPI-1).
NPI number1790723310
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1790723310
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nisha Ann Basu
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2006
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 211506 | MA | Yes |
Practice location
101 Walnut StWatertown, MA 02472-4054
Phone 888-897-1887
Mailing address
330 Brookline AvenueBoston, MA 02215
Phone 617-667-9600
Other practice locations
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