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Individual

MRS. STEPHANIE BAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-8704
Mailing address
9 BARRY DR, WEST ORANGE, NJ 07052-3523

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01072400
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01072400
NJ

Other

Enumeration date
08/05/2021
Last updated
12/05/2024
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