Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 037013 | NJ |
N | 111NI0900X | Internist | 037013 | NJ |
N | 207RA0401X | Internist - Addiction Medicine | 037013 | NJ |
NPI | 1962527051 |
---|---|
Provider Name | Dr. Louis E Baxter |
First Address | Burlington, NJ 08016-3434 |
Second Address | Princeton, NJ 08540-6327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |