JOHN J BASILE MD PC
Urology at Hamaker Ct, Fairfax, VA

License number
Virginia 0623831
Category
Radiology
Type
Urology
Owner
Name: JOHN J BASILE MD
Title: PRESIDENT
Phone: (703) 876-0288
Address
Address
3020 Hamaker Ct, Fairfax, VA 22031
National Provider ID: 1023176237
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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John J. Basile, M.D., PC

3020 Hamaker Ct, Fairfax, VA 22031

Industry:
Medical Doctor's Office
Doing business as:
John J Basile MD
Registration:
Jun 17, 1992
Phone:
(703) 876-0288 (Phone)
State ID:
03940343
Business type:
Corporation
Urologys:
John Basile (Owner, Medical Doctor, President),Sunil Patel (Urology)
Agent:
Richard John Ruddy Jr

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