Organization
BAKER STREET MIND HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FARBER MD (CMO)
(201) 381-6136
Entity
Organization
Contact information
Practice address
851 FRANKLIN LAKE RD STE 204, FRANKLIN LAKES, NJ 07417-2267
(201) 381-6136
Mailing address
851 FRANKLIN LAKE RD STE 204, FRANKLIN LAKES, NJ 07417-2267
(201) 381-6136
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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