Individual
MRS. GAIL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
201 LYONS AVE, G4, NEWARK, NJ 07112-2027
(973) 926-8592
(973) 923-8859
Mailing address
201 LYONS AVE, G4, NEWARK, NJ 07112-2027
(973) 926-8592
(973) 923-8859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN60361
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8610401
—
NJ
Enumeration date
02/23/2007
Last updated
07/08/2007
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