Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25MA05565900 | NJ |
NPI | 1023025236 |
---|---|
Provider Name | Howard M Baruch |
First Address | Teaneck, NJ 07666-3606 |
Second Address | Cliffside Park, NJ 07010-3012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 07/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F43505 | (02) | NJ |