Individual
MR. JERRY BAGEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
59 ONE MILE RD, STE G, EAST WINDSOR, NJ 08520
(609) 443-4500
(609) 443-4808
Mailing address
59 ONE MILE RD, STE G, EAST WINDSOR, NJ 08520
(609) 443-4500
(609) 443-4808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA04445900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1296400
—
NJ
Enumeration date
03/07/2006
Last updated
07/08/2007
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