Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25MA08622800 | NJ |
NPI | 1730328634 |
---|---|
Provider Name | Dr. Zeyad Baker |
First Address | Saddle River, NJ 07458-2522 |
Second Address | Saddle River, NJ 07458-2522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2009 |
Last Update Date | 21/12/2012 |