Individual
DR. MARK BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CARNIE BLVD, SUITE B-5, VOORHEES, NJ 08043-4512
(856) 374-4031
(856) 232-9139
Mailing address
1307 WHITE HORSE RD, SUITE A-102, VOORHEES, NJ 08043-2176
(856) 374-4031
(856) 232-9139
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA51234
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950801
—
NJ
Enumeration date
07/11/2005
Last updated
01/22/2015
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