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Individual

DR. MARC N BASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT, BOSTON, MA 02115-5737
(617) 355-6624
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT, BOSTON, MA 02115-5724
(617) 355-6624

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
56177
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
56177
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3017700
MA
Enumeration date
04/17/2006
Last updated
08/18/2015
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