JACK BASILE

ALLENTOWN, PA
NPI1508072315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  OT011515)
Enumeration Date2007-05-16
Last Update Date2016-10-17
Business Address
-- JACK BASILE DO
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103-6202
Phone number: 610-402-8111
Mailing Address
-- JACK BASILE DO
PO BOX 783311
PHILADELPHIA, PA 19178-3311
Phone number: 484-884-4500
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