Individual
DR. GEORGE BAKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
374 STOCKHOLM ST, DEPARTMENT OF FACULTY PRACTICE SUITEI-37 NORTH, BROOKLYN, NY 11237-4006
(718) 960-6503
Mailing address
374 STOCKHOLM ST, DEPARTMENT OF FACULTY PRACTICE SUITEI-37 NORTH, BROOKLYN, NY 11237-4006
(718) 960-6503
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
150187
NY
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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