Individual
DR. YOUNG C BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
512 LAKEHURST RD, TOMS RIVER, NJ 08755-8021
(732) 240-0053
(732) 240-9360
Mailing address
PO BOX 1058, TOMS RIVER, NJ 08754-1058
(732) 240-0053
(732) 240-9360
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA07552800
NJ
2085R0001X
Radiation Oncology Physician
D0020114
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117936000
—
WV
01
—
1743YC
MEDICARE#
MD
05
—
52565
—
MD
01
—
P00336175
RAILROAD MEDICARE
NJ
Enumeration date
05/31/2005
Last updated
02/27/2009
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