Individual
MARY J BAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 COTTAGE PL W, GILLETTE, NJ 07933-1607
(908) 566-2779
Mailing address
380 2ND AVE, NEW YORK, NY 10010-5615
(646) 438-7833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00259060
NY
Other
Enumeration date
06/26/2013
Last updated
02/22/2017
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