Bae, Young C

Bae, Young C is an individual health care provider with primary practice located at 512 Lakehurst Rd , Toms River NJ 08755-8021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bae, Young C can be contacted via phone (732) 240-0053.

Contact Information

Primary practice address
512 Lakehurst Rd Toms River NJ 08755-8021
Phone: (732) 240-0053
Fax: (732) 240-9360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25MA07552800 New Jersey
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X D0020114 Maryland

Profile Details

NPI number 1124021423
LBN Legal business name Bae, Young C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 27th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124021423 NPPES
Maryland Other 1743YC MEDICARE#
Maryland Other P00336175 MEDICARE#
Maryland MEDICAID 52565 MEDICARE#
Maryland MEDICAID 0117936000 MEDICARE#

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