Provider Demographics
NPI:1851310809
Name:BASILE, ORAZIO JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ORAZIO
Middle Name:JOSEPH
Last Name:BASILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:20 CUMBERLAND HILL ROAD
Mailing Address - Street 2:WOONSOCKET MEDICAL CENTER STE 103
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-4854
Mailing Address - Country:US
Mailing Address - Phone:401-762-0024
Mailing Address - Fax:401-762-0001
Practice Address - Street 1:20 CUMBERLAND HILL ROAD
Practice Address - Street 2:WOONSOCKET MEDICAL CENTER STE 103
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-4854
Practice Address - Country:US
Practice Address - Phone:401-762-0024
Practice Address - Fax:401-762-0001
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD03532207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA26578OtherHARVARD PILGRIM
MA003532OtherTUFTS HEALTH PLAN
RI0300140OtherUNITED HEALTH CARE
RI000225OtherBLUE CHIP
RI9000069Medicaid
RI699OtherBLUE CROSS BLUE SHIELD
RI000225OtherBLUE CHIP
C90242Medicare UPIN