Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew James Basara, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700646551

Matthew James Basara, DO is a Student in an Organized Health Care Education/Training Program in Wynnewood, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

100 E Lancaster Avenue Annenberg G-10
Wynnewood, PA 19096
Phone: (484) 476-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700646551
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address100 E Lancaster Ave, Wynnewood, PA 19096-3450

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