Most Relevant Information
Provider Data
| NPI Number: | 1003062050 |
| Provider Name: | BASIL MICHAEL YURCISIN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 25MA08777400 |
Most Important Dates
| Enumeration Date: | 08/11/2008 |
| Last Updated: | 06/30/2011 |
Provider Practice Location
225 MILLBURN AVE
SUITE 204
MILLBURN
NJ
070411737
Practice Location Phone/Fax
| Phone: | 9732181990 |
| Fax: | 9736291274 |
Provider Mailing Location
225 MILLBURN AVE
SUITE 204
MILLBURN
NJ
070411737
Provider Mailing Phone/Fax
| Phone: | 9732181990 |
| Fax: | 9736291274 |
Suggested EMR
Surgeon EMR