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Individual

DR. ALAN ROY BASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
316 KNICKERBOCKER RD, DUMONT, NJ 07628-1724
(201) 385-6161
(201) 385-1671
Mailing address
452 OLD HOOK RD, 2ND FLOOR, EMERSON, NJ 07630-1381
(201) 666-3900
(201) 261-0505

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0948041
NY
207R00000X
Internal Medicine Physician
Primary
25MA02458800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112927088
RAILROAD MEDICARE
NJ
01
AB05026510
EMPIRE BLUE CROSS BLUE SHIELD
Enumeration date
06/14/2006
Last updated
07/08/2016
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