Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARRICK MANSA BASKERVILLE, MD
ActiveDR. GARRICK MANSA BASKERVILLE, MD is a Family Medicine healthcare provider located in MILMONT PARK, Pennsylvania. NPI 1154539708 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MILMONT PARK, PA
Registration Details
- NPI Number
- 1154539708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (19.060202045781 yrs)
- Last Updated
- Jun 19, 2014
- Licenses
-
C7-0003720 (DE)MD439952 (PA)
Practice Information
- Address
-
500 MACDADE BLVDMILMONT PARK, PA, 190333311Browse PA providers · Browse ZIP 19033
- Phone
- 6106197300
- Fax
- 6105220445
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MILMONT PARK, PA
| Name | Credential | NPI |
|---|---|---|
| DR. CYNTHIA A SACHAROK | MD | 1558413492 |
| CHRISTINE OH | MD | 1235346263 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.