Individual
MARIA BERNADETTE BAHENA YBALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
651 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1799
(908) 441-1161
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10308100
NJ
207R00000X
Internal Medicine Physician
C1-0012501
DE
207R00000X
Internal Medicine Physician
MD459041
PA
208M00000X
Hospitalist Physician
25MA10308100
NJ
208M00000X
Hospitalist Physician
Primary
MD459041
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0661171
—
NJ
05
—
1032095690001
—
PA
Enumeration date
01/17/2014
Last updated
06/20/2025
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