Individual
JOHNNY BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
7001 JOHNNYCAKE RD, SUITE 107, WINDSOR MILL, MD 21244-2418
(410) 788-8901
(410) 788-8957
Mailing address
7001 JOHNNYCAKE RD, SUITE 107, WINDSOR MILL, MD 21244-2418
(410) 788-8901
(410) 788-8957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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