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1578652814
BIJU BASIL
PHILADELPHIA, PA
NPI
1578652814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA MD428021)
Enumeration Date
2006-10-12
Last Update Date
2007-08-16
Business Address
-- BIJU BASIL MD
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124-2343
Phone number: 215-831-4811
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Mailing Address
-- BIJU BASIL MD
1601 CHERRY ST SUITE 11511
PHILADELPHIA, PA 19102-1321
Phone number: 215-255-7822
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