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1700646551
MATTHEW JAMES BASARA
WYNNEWOOD, PA
NPI
1700646551
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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
2024-03-20
Last Update Date
2024-03-20
Business Address
MATTHEW JAMES BASARA DO
100 E. LANCASTER AVENUE ANNENBERG G-10
WYNNEWOOD, PA 19096
Phone number: 484-476-2000
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Mailing Address
MATTHEW JAMES BASARA DO
100 E LANCASTER AVE
WYNNEWOOD, PA 19096-3450
Phone number: 484-476-2000
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