Individual
DR. IRA BRIAN BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7 E. FRONT ST., KEYPORT, NJ 07735-1524
(732) 264-3865
(732) 264-3631
Mailing address
7 E. FRONT ST., KEYPORT, NJ 07735-1524
(732) 264-3865
(732) 264-3631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11033
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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