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1073199519
DAVID BASTA
BOSTON, MA
NPI
1073199519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
DAVID BASTA MD, PHD
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 617-732-8613
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Mailing Address
DAVID BASTA MD, PHD
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 617-732-8613
Copy
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