DR. GIACOMO P BASADONNA M.D. NPI 1073504205

NPI Information

NPI: 1073504205
Provider Name: DR. GIACOMO P BASADONNA, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Address:
55 LAKE AVE N
DEPARTMENT OF TRANSPLANT SURGERY
WORCESTER, MA
ZIP 01655
Phone: (508) 334-2023
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DR. Giacomo P Basadonna, M.D. is a transplant surgery in Worcester, MA. The provider is definition to come. DR. Giacomo P Basadonna, M.D. NPI is 1073504205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 LAKE AVE N
DEPARTMENT OF TRANSPLANT SURGERY
WORCESTER, MA
ZIP 01655-002
Phone: (508) 334-2023

The enumeration date for this NPI number is 11/5/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204F00000X	Transplant Surgery		216291	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	BA A34732	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	F45855	MEDICARE UPIN	MASSACHUSETTS
3	0185639	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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