Baez, Bernard

Baez, Bernard is an individual health care provider with primary practice located at 255 Lafayette Ave , Suffern NY 10901-4812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Baez, Bernard can be contacted via phone (845) 368-5039.

Contact Information

Primary practice address
255 Lafayette Ave Suffern NY 10901-4812
Phone: (845) 368-5039
Fax: (845) 357-5777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 222860 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA08740200 New Jersey

Profile Details

NPI number 1053393751
LBN Legal business name Baez, Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jun 20th, 2013 - about 11 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 1053393751 NPPES
New Jersey MEDICAID 0296091
New Jersey MEDICAID 02422237

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