Doctor Name: | STEPHEN ALEXANDER BADE |
NPI Number: | 1225260144 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 40QA01321400 |
Business Practice Address: | 1540 West Park Ave. Suite 4 Tinton Falls, NJ - 07712 |
Business Phone Number: | 7325440011 |
Business Fax Number: | 7325441115 |
Mailing Address: | 1540 West Park Ave., Suite 4 TINTON FALLS |
State: | NJ |
Postal Code: | 07712 |
Phone Number: | 7325440011 |
Fax Number: | 7325441115 |
NPI Enumeration Date: | 08/11/2009 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 40QA01321400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |