Individual
MR. JAN BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
555 FIRST AVE, NEW YORK, NY 10016
(917) 208-7648
Mailing address
111 W 69TH ST APT 2B, NEW YORK, NY 10023-5184
(917) 208-7648
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
291945-1
NY
Other
Enumeration date
04/04/2018
Last updated
06/05/2023
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