Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MA22828 | NJ |
NPI | 1043240104 |
---|---|
Provider Name | Dr. Stuart E Baskin |
First Address | Livingston, NJ 07039-4896 |
Second Address | Livingston, NJ 07039-4896 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2728001 | (05) | NJ |
C56053 | (02) | NJ |