Active NPIIndividual provider

Dr. Renee E Baskerville, MD

Pediatrics, Adolescent Medicine in East Orange, New Jersey

NPI Number1376769372
Practice location
90 Washington St, Suite 209, East Orange, NJ 07017
Fax
973-509-2658
Last updated
July 8, 2007

Renee E Baskerville is a Pediatrics, Adolescent Medicine based in East Orange, NJ. Renee E Baskerville practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Renee E Baskerville is 1376769372 and holds a License No. MA50489 (NJ). The current practice location address for Renee E Baskerville is 90 Washington St, Suite 209, East Orange, NJ 07017 and can be reached out via phone at 973-677-1551 and via fax at 973-509-2658.

Provider Profile Details

NPI Number
1376769372
Provider Name
Renee E Baskerville
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
90 Washington St, Suite 209, East Orange, NJ 07017
Phone Number
973-677-1551
Fax Number
973-509-2658
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
April 18, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Washington St
Suite 209
East Orange, NJ 07017
Zip
07017
Phone Number
973-677-1551
Fax Number
973-509-2658
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
Po Box 141
Montclair, NJ 07042
City
Montclair
State
NJ
Zip
07042
Phone Number
973-677-1551
Fax Number
973-509-2658

License Information

License Number
MA50489
License State
NJ
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Renee E Baskerville, MD?

The NPI number of Dr. Renee E Baskerville, MD is 1376769372. It was assigned on April 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Renee E Baskerville, MD?

Dr. Renee E Baskerville, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in NJ under license number MA50489.

Where does Dr. Renee E Baskerville, MD practice?

The practice location is 90 Washington St, Suite 209, East Orange, NJ 07017. The office can be reached at 973-677-1551 (phone) or 973-509-2658 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376769372 directly on the NPPES registry website.

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