Individual
EVELYN BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 847-9320
Mailing address
PO BOX 630, FRANKLIN LAKES, NJ 07417-0630
(201) 847-9320
(201) 847-0059
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
25MA11050700
NJ
Other
Enumeration date
04/15/2016
Last updated
05/15/2024
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