Baum, Mark
Baum, Mark is an individual health care provider with primary practice located at 100 Carnie Blvd Suite B-5, Voorhees NJ 08043-4512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baum, Mark can be contacted via phone (856) 374-4031.Contact Information
Primary practice address
100 Carnie Blvd Suite B-5
Voorhees NJ 08043-4512
Phone: (856) 374-4031
Fax: (856) 232-9139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MA51234 | New Jersey |
Profile Details
| NPI number | 1689672941 |
|---|---|
| LBN Legal business name | Baum, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jan 22nd, 2015 - about 9 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 | 1689672941 | NPPES |
| New Jersey | MEDICAID | 1950801 |
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