Renee E Baskerville in Montclair - Adolescent Medicine
Renee E Baskerville - NPI 1376769372
Renee E Baskerville is a Adolescent Medicine in Montclair, New Jersey. Renee E Baskerville practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Renee E Baskerville is 1376769372. The last update date is 2007-07-08.
Renee E Baskerville's current location address is Po Box 141, Montclair, New Jersey. You can contact this provider via phone number 9736771551 and fax number 9735092658. The mailing address for Renee E Baskerville is Po Box 141, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee E Baskerville |
|---|---|
| Address | Po Box 141, Montclair, New Jersey |
| Phone Number | 9736771551 |
| Fax Number | 9735092658 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376769372 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 141 |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 7042 |
| Phone Number | 9736771551 |
| Fax Number | 9735092658 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | MA50489 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2016907 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Renee E Baskerville?
The Renee E Baskerville has been issued the NPI (National Provider Identifier) 1376769372 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Renee E Baskerville's facilities are geographically located?
The facilities of Renee E Baskerville are physically situated at the following location: Po Box 141, Montclair, NJ, 7042.
What is Renee E Baskerville's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Renee E Baskerville is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376769372 to Renee E Baskerville?
The Centers for Medicare & Medicaid Services originally issued the 1376769372 to Renee E Baskerville on 2007-04-18.
When was the information regarding Renee E Baskerville, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Renee E Baskerville, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.