Individual
DR. ETHEL D BARUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 MINNISINK RD, TOTOWA, NJ 07512-1803
(973) 256-7100
(973) 890-4574
Mailing address
169 MINNISINK RD, TOTOWA, NJ 07512-1803
(973) 256-7100
(973) 890-4574
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA02730000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA02730000
LICENSE NUMBER
NJ
Enumeration date
12/29/2006
Last updated
07/09/2007
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