Individual
DR. JED E BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
28 MILLBURN AVE, SUITE 7, SPRINGFIELD, NJ 07081
(973) 313-1803
Mailing address
29 COLLINWOOD RD, MAPLEWOOD, NJ 07040-1035
(973) 313-1803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00331400
NJ
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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