Roger E Bassin MD PA

NPI #1588849780 in Viera, Florida

Provider Information

NPI Number: 1588849780
Entity Type: Organization
Organization Name: Roger E Bassin MD PA
Primary Specialty: Plastic Surgery - Plastic Surgery Within the Head and Neck
Enumeration Date: Jan 7, 2008
Last Updated: Jul 17, 2024

Practice Location

Address: 1705 BERGLUND LN
Address 2: SUITE 103
City: Viera
State: Florida
ZIP Code: 32940-6231
Phone: (321) 255-0025

Authorized Official

Name: ROGER E BASSIN, M.D.
Title: OWNER/OPERATOR
Phone: (321) 255-0025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Plastic Surgery	208200000X
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X
Plastic Surgery - Plastic Surgery Within the Head and Neck — Plastic Surgery Within the Head and Neck	2082S0099X	Primary

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