Doctor Name: | DEBORAH BADER |
NPI Number: | 1033535703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 26NJ00473300 |
Business Practice Address: | 9 Mule Rd Ste 8 Toms River, NJ - 087555052 |
Business Phone Number: | 7323416070 |
Business Fax Number: | 7323416077 |
Mailing Address: | 9 Mule Rd Ste 8, TOMS RIVER |
State: | NJ |
Postal Code: | 087555052 |
Phone Number: | 7323416070 |
Fax Number: | 7323416077 |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 06/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00473300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |