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Mary Jane Basilica
NPI 1063320398 · on the registry since 2026
Practice
- Address
- 1801 N Broad St
Philadelphia, PA 19122 - Phone
- (215) 204-7000
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania