Basadonna, Giacomo P

Basadonna, Giacomo P is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Transplant Surgery, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Basadonna, Giacomo P can be contacted via phone (508) 334-2023.

Contact Information

Primary practice address
55 Lake Ave N Department Of Transplant Surgery Worcester MA 01655-0002
Phone: (508) 334-2023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 216291 Massachusetts

Profile Details

NPI number 1073504205
LBN Legal business name Basadonna, Giacomo P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073504205 NPPES
Massachusetts MEDICAID 0185639

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