Baker, Azzam
Baker, Azzam is an sole proprietor health care provider with primary practice located at 714 10Th St , Secaucus NJ 07094-2921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Baker, Azzam can be contacted via phone (201) 863-3346.Contact Information
Primary practice address
714 10Th St
Secaucus NJ 07094-2921
Phone: (201) 863-3346
Fax: (201) 863-5251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA03363500 | New Jersey |
Profile Details
| NPI number | 1669575973 |
|---|---|
| LBN Legal business name | Baker, Azzam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669575973 | NPPES |
| New Jersey | MEDICAID | 0604500 |
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