Individual
DR. EDWARD MITCHELL BARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
813 EAST GATE DRIVE, MOUNT LAUREL, NJ 08054
(856) 273-8000
(856) 273-6408
Mailing address
813 EAST GATE DRIVE, MOUNT LAUREL, NJ 08054
(856) 273-8000
(856) 273-6408
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA59056
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7179502
—
NJ
Enumeration date
07/23/2007
Last updated
07/23/2007
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