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Eugene Joseph Basiliere, MD
Specialist in San Diego, California
NPI 1518929876

Eugene Joseph Basiliere is a Specialist based in San Diego, CA. Eugene Joseph Basiliere practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Eugene Joseph Basiliere is 1518929876 and holds a License No. A42602 (California).

The current practice location address for Eugene Joseph Basiliere is 4060 Fairmount Ave, San Diego, CA and can be reached out via phone at 619-280-4213.

Location: 4060 Fairmount Ave, San Diego, CA, 92105-1608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518929876
Provider Name
Eugene Joseph Basiliere
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4060 Fairmount Ave, San Diego, CA, 92105-1608
Phone Number
619-280-4213
Fax Number
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A426020 05 CA
institution
Provider Business Practice Location Address Details
Address
4060 Fairmount Ave
City
San Diego
State
California
Zip
92105-1608
Phone Number
619-280-4213
Fax Number
person
Provider Business Mailing Address Details
Address
4060 Fairmount Ave
City
San Diego
State
California
Zip
92105-1608
Phone Number
619-280-4213
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A42602 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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