Individual
JOHN R. BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BERGEN ST, DOC 3100, NEWARK, NJ 07103-2425
(973) 972-2802
(973) 972-2825
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA04221900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1381504
—
NJ
Enumeration date
07/27/2006
Last updated
01/24/2022
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