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1376769372
RENEE E BASKERVILLE
EAST ORANGE, NJ
NPI
1376769372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NJ MA50489)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Dr. RENEE E BASKERVILLE MD
90 WASHINGTON ST SUITE 209
EAST ORANGE, NJ 07017
Phone number: 973-677-1551
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Mailing Address
Dr. RENEE E BASKERVILLE MD
PO BOX 141
MONTCLAIR, NJ 07042
Phone number: 973-677-1551
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