Individual
DR. BEBI SAMANTHA BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LEXINGTON RD, BLDG B, STE 200, WOOLWICH TWP, NJ 08085-1278
(856) 241-2111
(856) 241-2243
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101239333
VA
208000000X
Pediatrics Physician
Primary
25MA06709200
NJ
Other
Enumeration date
07/07/2006
Last updated
08/25/2011
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