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NPI Code Detail

MEDICARE: DR. ALAN ROY BASKIN MD

MEDICARE:  DR. ALAN ROY BASKIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA02458800NJ
2207R00000XInternal Medicine Physician0948041NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1112927088OTHERNJRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2AB05026510OTHEREMPIRE BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1730122953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN ROY BASKIN MD
Provider Business Mailing Address
First Line : 452 OLD HOOK RD
Second Line : 2ND FLOOR
City : EMERSON
State : NJ
Zip : 07630-1381
Country : US
Telephone Number : 201-666-3900
Fax Number : 201-261-0505
Provider Business Practice Location Address
First Line : 316 KNICKERBOCKER RD
Second Line :
City : DUMONT
State : NJ
Zip : 07628-1724
Country : US
Telephone Number : 201-385-6161
Fax Number : 201-385-1671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/08/2016

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Directions to “ DR. ALAN ROY BASKIN MD” Practice Location

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