Individual
MS. KELLY BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 CENTRAL AVE, EMERGENCY DEPARTMENT, NEWARK, NJ 07102-1909
(973) 877-5000
Mailing address
111 CENTRAL AVE, EMERGENCY DEPARTMENT, NEWARK, NJ 07102-1909
(973) 877-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00371000
NJ
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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