Roger Basiletti, PA

NPI #1720128614 in Massillon, Ohio

Provider Information

NPI Number: 1720128614
Entity Type: Individual
Name: Roger Basiletti, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: PA
Enumeration Date: Feb 8, 2007
Last Updated: May 15, 2015

Practice Location

Address: 875 8TH ST NE
City: Massillon
State: Ohio
ZIP Code: 44646-8503
Phone: (330) 493-4443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Physician Assistant	363A00000X

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