Healthcare Provider Details

I. General information

NPI: 1497793202
Provider Name (Legal Business Name): SEEMA BASI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 PRINCETON HIGHTSTOWN RD SUITE 203
PRINCETON JUNCTION NJ
08550-1100
US

IV. Provider business mailing address

88 PRINCETON HIGHTSTOWN RD SUITE 203
PRINCETON JUNCTION NJ
08550-1100
US

V. Phone/Fax

Practice location:
  • Phone: 609-750-7330
  • Fax: 609-750-7336
Mailing address:
  • Phone: 609-750-7330
  • Fax: 609-750-7336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: