Individual provider · Type 1 NPI
Renee E. Baskerville, MD
Pediatric Adolescent Medicine Physician · East Orange, NJ
NPI number
1376769372
Active
Practice location
90 Washington St, Suite 209
East Orange, NJ 07017
Fax (973) 509-2658
Mailing address
PO Box 141
Montclair, NJ 07042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | MA50489 (NJ) |
Pediatric Adolescent Medicine Physician: 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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Other pediatric adolescent medicine physician providers in East Orange
About NPI 1376769372
Renee E. Baskerville, MD's National Provider Identifier is 1376769372, issued on Apr 18, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in East Orange, NJ. The record was last updated on Jul 8, 2007.