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Contact Information

BASIL M YURCISIN II, MD
4207 LAKE BOONE TRL STE 210
RALEIGH, NC27607-6685
 Phone: 919-784-4200
 Fax: 919-784-2708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BASIL M YURCISIN II · (Male)

NPI # 1003062050
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2008
Last updated 06/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 2008-01198
  • NJ License # 25MA08777400
Hospital affiliation(s)
  • DEBORAH HEART AND LUNG CENTER - (Acute Care)
    200 TRENTON ROAD
    BROWNS MILLS, NJ 08015
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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