IndividualActive
Shujosh Basak, CNIM
NPI 1710765995 · Electroneurodiagnostic Specialist/Technologist · Langhorne, PA
Provider details
- NPI number
- 1710765995
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- No
- License
- 5796 (PA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
785 Duxbury Dr
Langhorne, PA 19047-3602
Phone: (856) 264-2672
Approximate (ZIP-level) locationGet directions
Mailing address
785 Duxbury Dr
Langhorne, PA 19047-3602
Registry dates
- Enumerated
- 2023-09-19
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.