Bautista, Amelia B
Bautista, Amelia B is an individual health care provider with primary practice located at 1600 Haddon Ave Icn, Camden NJ 08103-3101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Bautista, Amelia B can be contacted via phone (856) 757-3988.Contact Information
Primary practice address
1600 Haddon Ave Icn
Camden NJ 08103-3101
Phone: (856) 757-3988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 25MA04033000 | New Jersey |
Profile Details
| NPI number | 1760460703 |
|---|---|
| LBN Legal business name | Bautista, Amelia B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jun 30th, 2012 - about 12 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 | 1760460703 | NPPES |
| New Jersey | MEDICAID | 3987001 |
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