Individual
DR. PAUL BRUCE BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9785 QUEENS BLVD, REGO PARK, NY 11374-3319
(718) 261-9100
(718) 997-0347
Mailing address
9785 QUEENS BLVD, REGO PARK, NY 11374-3319
(718) 261-9100
(718) 997-0347
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
143018
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00840157
—
NY
01
—
143018
HIP
NY
Enumeration date
08/03/2005
Last updated
02/22/2021
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