Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 227589 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | 25MA06838700 | NJ |
NPI | 1104863976 |
---|---|
Provider Name | Dr. Aryeh Zvi Baer |
First Address | Teaneck, NJ 07666-2724 |
Second Address | Hackensack, NJ 07601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 11/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9041907 | (05) | NJ |
H78343 | (02) | NJ |