Matthew Basilico is a student in an organized health care education training program in New Haven, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Matthew Basilico NPI is 1700413952. 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:
300 GEORGE ST STE 901
NEW HAVEN, CT
ZIP 06511-662
Phone: (203) 785-2095
The enumeration date for this NPI number is 3/26/2020 and was last updated on 11/8/2021.