Individual
DR. ANDREA BARATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2026 BRIGGS RD STE B, MOUNT LAUREL, NJ 08054-4602
(609) 288-6884
(609) 667-7103
Mailing address
2026 BRIGGS RD STE B, MOUNT LAUREL, NJ 08054-4602
(609) 288-6884
(609) 667-7103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MB07528000
NJ
207N00000X
Dermatology Physician
Primary
25MB07528000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065293
—
NJ
01
—
1064395
AETNA HMO #
NJ
01
—
223806823
TAX IDENTIFICATION #
NJ
01
—
2423392000
AMERIHEALTH #
NJ
01
—
5633C1
EMPIRE BC/BS OF NY
NJ
01
—
7918622
AETNA PPO #
NJ
Enumeration date
04/03/2006
Last updated
07/01/2022
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