| Dr Shantanu G Basu, MD | |
|
150 Concord Rd, Weston, MA 02493-1340 | |
| (617) 447-5467 | |
| Not Available |
| Full Name | Dr Shantanu G Basu |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 150 Concord Rd, Weston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326129271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 44318 (Massachusetts) | Primary |
| Entity Name | Berkshire Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088 |
| Entity Name | Berkshire Faculty Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
| Entity Name | Advantage Surgical And Wound Care Massachusetts Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164039152 PECOS PAC ID: 0840602579 Enrollment ID: O20201222000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shantanu G Basu, MD 150 Concord Rd, Weston, MA 02493-1340 Ph: (617) 447-5467 | Dr Shantanu G Basu, MD 150 Concord Rd, Weston, MA 02493-1340 Ph: (617) 447-5467 |
Dr. Jonathan Paull Gertler, JONATHAN GERTLER MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 15 Westcliff Rd, Weston, MA 02493 Phone: 781-237-2544 Fax: 781-237-3225 | |
John J Skillman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Ox Bow Rd, Weston, MA 02493 Phone: 781-431-7552 |