DR. Garrick Mansa Baskerville, MD

NPI #1154539708 in Milmont Park, Pennsylvania

Provider Information

NPI Number: 1154539708
Entity Type: Individual
Name: DR. Garrick Mansa Baskerville, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 18, 2007
Last Updated: Jun 19, 2014

Practice Location

Address: 500 MACDADE BLVD
City: Milmont Park
State: Pennsylvania
ZIP Code: 19033-3311
Phone: (610) 619-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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