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General NPI Number Information
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NPI Number | 1669446654
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Entity Type | Individual
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Provider Name | FRANCIS J BASSANI SR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 647 N BROAD STREET EXT WOLF CREEK MEDICAL ASSOCIATES
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City | GROVE CITY
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State | PA
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Zip | 16127-4604
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Country | US
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Telephone | 724-450-7004
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Fax | 724-450-7013
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Provider Business Mailing Address
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Address Line | 647 N BROAD STREET EXT WOLF CREEK MEDICAL ASSOCIATES
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City | GROVE CITY
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State | PA
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Zip | 16127-4604
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Country | US
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Telephone | 724-450-7004
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Fax | 724-450-7013
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS 009460-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS009460L
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License Number State | PA
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