Individual
DR. FRED STEPHEN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22 SMULL AVE, CALDWELL, NJ 07006-5012
(973) 226-3575
(973) 226-3575
Mailing address
88 ADDISON AVE, ROCKAWAY, NJ 07866-3221
(973) 625-0852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D101088200
NJ
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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