person
Dr. Renee E Baskerville, MD
Pediatric Adolescent Medicine Physician in East Orange, New Jersey
NPI 1376769372

Renee E Baskerville is a Pediatric Adolescent Medicine Physician based in Montclair, NJ and is specialized in Adolescent Medicine. 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 (New Jersey).

The current practice location address for Renee E Baskerville is 90 Washington St, East Orange, NJ and can be reached out via phone at 973-677-1551 and via fax at 973-509-2658. You can also correspond with Renee E Baskerville through the mailing address at PO BOX 141, MONTCLAIR, NJ - 07042 (mailing address contact number: 973-677-1551).

Location: 90 Washington St, East Orange, NJ, 07042
person
Provider Profile Details
NPI Number
1376769372
Provider Name
Renee E Baskerville
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
90 Washington St, East Orange, NJ, 07042
Phone Number
973-677-1551
Fax Number
973-509-2658
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2016907 05 NJ
institution
Provider Business Practice Location Address Details
Address
90 Washington St
City
State
Zip
07017
Phone Number
973-677-1551
Fax Number
973-509-2658
person
Provider Business Mailing Address Details
Address
90 Washington St
City
State
Zip
07017
Phone Number
973-677-1551
Fax Number
973-509-2658
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
MA50489 (New Jersey)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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