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Individual

GEORGE R BAUMGARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 RATZER RD, WAYNE, NJ 07470-7702
(973) 696-5770
Mailing address
PO BOX 985, NEPTUNE, NJ 07754-0985
(414) 455-4780
(414) 475-2936

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02067700
NJ

Other

Enumeration date
05/31/2006
Last updated
01/23/2008
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