Individual
DR. RONALD JAY BAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 AUER CT STE B, EAST BRUNSWICK, NJ 08816-5846
(732) 390-0073
(732) 390-5984
Mailing address
8 AUER CT STE B, EAST BRUNSWICK, NJ 08816-5846
(732) 390-0073
(732) 390-5984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03763600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0893307
—
NJ
Enumeration date
12/29/2006
Last updated
07/08/2007
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