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NPI Code Detail

MEDICARE: ALICIA S. LUBIN-BASKIN D.O.

MEDICARE: ALICIA S. LUBIN-BASKIN D.O.
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
1207Q00000XFamily Medicine Physician195848NY
2207Q00000XFamily Medicine Physician25MB06238500NJ

General Provider Information

NPI Number : 1801880570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA S. LUBIN-BASKIN D.O.
Provider Business Mailing Address
First Line : 400 GILL LN
Second Line :
City : ISELIN
State : NJ
Zip : 08830-3059
Country : US
Telephone Number : 732-404-1580
Fax Number : 732-404-1595
Provider Business Practice Location Address
First Line : 400 GILL LN
Second Line :
City : ISELIN
State : NJ
Zip : 08830-3059
Country : US
Telephone Number : 732-404-1580
Fax Number : 732-404-1595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 02/09/2026

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