| Doctor Name: | DR. HENRY M BAQUIRAN |
| NPI Number: | 1093863508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MA04295300 |
| Business Practice Address: | 1900 Union Valley Rd Hewitt, NJ - 07421 |
| Business Phone Number: | 9737285930 |
| Business Fax Number: | 9737280809 |
| Mailing Address: | 1900 Union Valley Rd, HEWITT |
| State: | NJ |
| Postal Code: | 07421 |
| Phone Number: | 9737285930 |
| Fax Number: | 9737280809 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 10/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MA04295300 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |