Individual
JOHN D. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 FELLOWSHIP RD, MOUNT LAUREL, NJ 08054-1052
(856) 325-6767
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA12050700
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
K4366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156232401
—
TX
Enumeration date
08/30/2006
Last updated
12/14/2023
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