Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 25MA08251000 | NJ |
NPI | 1760437768 |
---|---|
Provider Name | Dr. Ulrich Bauer |
First Address | Somerset, NJ 08813 |
Second Address | Westfield, NJ 07090-3312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 25/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00599564 | (05) | NY |
0150142000 | AMERIHEALTH (01) | NJ |
8828709 | (05) | NJ |