Individual
JAMES J BAE
Active
Individual
JAMES J BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PTA
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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