Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Garrick Mansa Baskerville, MD

Individual provider Family Medicine Physician · NPI 1154539708

Dr. Garrick Mansa Baskerville, MD is a Family Medicine Physician in Milmont Park, Pennsylvania. Licensed in Delaware and Pennsylvania. Registered with an NPI since 2007.

Licensed in
DE, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 Macdade Blvd
Milmont Park, PA 19033-3311
Phone: (610) 619-7300
Fax: (610) 522-0445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD439952 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence C7-0003720 (DE)

Record details

NPI number1154539708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESJune 19, 2014

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