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Organization

BRIDGECARE PROVIDER GROUP LLC

Active
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Organization

BRIDGECARE PROVIDER GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IYAD BAKER (OWNER)
(201) 596-6262
Entity
Organization

Contact information

Practice address
493 BLACK OAK RIDGE RD, WAYNE, NJ 07470-6501
(973) 692-9500
Mailing address
173 BRIDGE PLZ N, FORT LEE, NJ 07024-7575

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—

Other

Enumeration date
10/17/2022
Last updated
10/17/2022
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