Organization
REBECCA BAXT, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BAXT M.D. (PRESIDENT)
(201) 265-1300
Entity
Organization
Contact information
Practice address
635 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10022-1009
(212) 753-6033
(212) 308-6847
Mailing address
651 EVELYN ST, PARAMUS, NJ 07652-2901
(201) 265-1300
(201) 265-3737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
213269-1
NY
207N00000X
Dermatology Physician
25MA06657800
NJ
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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