Individual
JEREMY BAUMGARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
197 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-2111
(908) 217-2896
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00341600
NJ
Other
Enumeration date
07/30/2014
Last updated
09/17/2021
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