Baratta, Andrea

Baratta, Andrea is an individual health care provider with primary practice located at 2026 Briggs Rd Ste B , Mount Laurel NJ 08054-4602. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Baratta, Andrea can be contacted via phone (609) 288-6884.

Contact Information

Primary practice address
2026 Briggs Rd Ste B Mount Laurel NJ 08054-4602
Fax: (609) 667-7103
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MB07528000 New Jersey
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MB07528000 New Jersey

Profile Details

NPI number 1124080619
LBN Legal business name Baratta, Andrea
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 1st, 2022 - about 2 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 1124080619 NPPES
New Jersey MEDICAID 0065293
New Jersey Other 5633C1
New Jersey Other 7918622
New Jersey Other 2423392000
New Jersey Other 1064395
New Jersey Other 223806823

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