Dr. Renee E Baskerville
MD | Pediatric Adolescent Medicine | Female
Dr. Renee E Baskerville, MD is a East Orange, New Jersey based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Renee E Baskerville is
90 Washington St, Suite 209, East Orange, New Jersey - 07017. She can be contacted on phone at
973-677-1551 and fax number 973-509-2658.
Dr. Renee E Baskerville is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Renee E Baskerville is
1376769372 which was assigned by NPPES on 18 Apr, 2007 and it was last updated on 08 Jul, 2007.
Dr. Renee E Baskerville license number is
MA50489 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Dr. Renee E Baskerville 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.
Complete Profile:
Dr. Renee E Baskerville basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Renee E Baskerville |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Renee E Baskerville address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 90 Washington St, Suite 209
East Orange, NJ, 07017
United States |
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| Phone Number : | 973-677-1551 |
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| Fax Number : | 973-509-2658 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1376769372 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Apr, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Renee E Baskerville are as mentioned. Primary taxonomy code for Dr. Renee E Baskerville, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA50489 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Renee E Baskerville such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 2016907 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 141
Montclair, NJ, 07042
United States |
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| Phone Number : | 973-677-1551 |
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| Fax Number : | 973-509-2658 |
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Business Location:
Patients can refer following map for directions to
Dr. Renee E Baskerville practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.