| Natasha G Baron | |
|
12-15 Broadway 2a Fair Lawn NJ 07410-2031 | |
| (201) 334-2537 | |
| Not Available |
| Full Name | Natasha G Baron |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12-15 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Natasha G Baron (OWNER) |
| Authorized Official Contact | 2013342537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natasha G Baron 12-15 Broadway 2a Fair Lawn NJ 07410-2031 Ph: (201) 334-2537 | Natasha G Baron 12-15 Broadway 2a Fair Lawn NJ 07410-2031 Ph: (201) 334-2537 |
| NPI Number | 1003261504 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 05/03/2016 |
| Medicare PECOS PAC ID | 0345532800 |
|---|---|
| Medicare Enrollment ID | O20160705000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003261504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA09059200 (New Jersey) | Primary |
| Provider Name | Natasha G Baron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104026186 PECOS PAC ID: 3274780150 Enrollment ID: I20120828000732 |
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