MICHELLE ALONSO-BASANTA MD
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1831393800- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3400 CIVIC CENTER BLVD., PHILADELPHIA, PA, 191044206
- Phone
- (215) 615-3782
Specialties & Taxonomies
Unknown
License: NY #233075
Unknown
Primary License: PA #MD434414
Unknown
License: NJ #25MA08470300