Provider Demographics
NPI:1225015340
Name:BASILE, FRANK G (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:G
Last Name:BASILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:27 PARK ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5230
Mailing Address - Country:US
Mailing Address - Phone:508-862-7575
Mailing Address - Fax:508-862-7362
Practice Address - Street 1:27 PARK ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5230
Practice Address - Country:US
Practice Address - Phone:508-862-7575
Practice Address - Fax:508-862-7362
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA207025207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA37188OtherHARVARD PILGRIM
MA468440OtherTUFTS HEALTH PLAN
MA64758OtherFALLON COMM HEALTH PLAN
MA0141801Medicaid
MA0036428OtherNEIGHBORHOOD HEALTH PLAN
MAJ28814OtherBLUE CROSS BLUE SHIELD
MAA32692Medicare PIN
MAJ28814OtherBLUE CROSS BLUE SHIELD
MA64758OtherFALLON COMM HEALTH PLAN