Juan C. Baez Md Llc | |
10 Mountain Blvd Warren NJ 07059-2639 | |
(908) 899-1019 | |
(908) 448-2482 |
Full Name | Juan C. Baez Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 10 Mountain Blvd, Warren, New Jersey |
Authorized Official Name and Position | Juan Baez (OWNER) |
Authorized Official Contact | 9088991019 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Juan C. Baez Md Llc 10 Mountain Blvd Warren NJ 07059-2639 Ph: (908) 899-1019 | Juan C. Baez Md Llc 10 Mountain Blvd Warren NJ 07059-2639 Ph: (908) 899-1019 |
NPI Number | 1124426481 |
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Provider Enumeration Date | 12/18/2014 |
Last Update Date | 02/13/2015 |
Medicare PECOS PAC ID | 0749509552 |
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Medicare Enrollment ID | O20150429000733 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124426481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Juan Carlos Baez |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1073505061 PECOS PAC ID: 7214062033 Enrollment ID: I20100318000730 |
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