Neil A. Basumallik MD - Internal Medicine Physician in Salisbury, Maryland | ProviderWire

Full Name

Neil Anjan Basumallik MD

NPI Number

1922636588

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/30/2020

Specialties

(Taxonomies)

Name

Internal Medicine Physician

Student in an Organized Health Care Education/Training Program

Code

207R00000X

390200000X

Primary Taxonomy

Yes

No

Licenses

State

Maryland

License Number

D0097335

Contact
Information

Purpose

Mailing

Location

Address

1639 WOODBROOKE DR

1639 WOODBROOKE DR

City

Salisbury

Salisbury

State

MD

MD

Postal Code

21804-8502

21804-8502

Country

US

US

Telephone Number

N/A

(410) 543-7475

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/19/2023

Provider Address

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