Individual
JENNIFER BACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 JAMES ST, EDISON, NJ 08820-3902
(732) 662-5888
Mailing address
98 JAMES ST, EDISON, NJ 08820-3902
(732) 662-5888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00600000
NJ
Other
Enumeration date
12/26/2020
Last updated
06/16/2022
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