Individual
JAMES J BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PTA
Contact information
Practice address
83 HANOVER RD STE 260, FLORHAM PARK, NJ 07932-1520
(732) 426-3420
(848) 800-4668
Mailing address
200 SCHULZ DR STE 2, RED BANK, NJ 07701-6745
(732) 333-8720
(848) 800-4801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
40QB00332300
NJ
363A00000X
Physician Assistant
25MP00849900
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00849900
NJ
Other
Enumeration date
09/26/2017
Last updated
05/16/2025
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