Individual provider · Type 1 NPI

Shayamala Baskaran, PA-C

Medical Physician Assistant · Berkeley Heights, NJ

NPI number 1710132659 Active

Practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Mailing address

150 Floral Ave
New Providence, NJ 07974-1557

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00294600 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1710132659

Shayamala Baskaran, PA-C's National Provider Identifier is 1710132659, issued on Nov 19, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Berkeley Heights, NJ. The record was last updated on Oct 11, 2016.