Mr. Bashir M Lauderdale
Specialist/Technologist, Athletic Trainer in Colonia, New Jersey
1609520352- Practice location
- 34 Candlewood CT, Colonia, NJ 07067-1503
- Phone
- 732-895-5965
- Fax
- —
- Last updated
- February 10, 2022
Bashir Murice Lauderdale is a Specialist/Technologist, Athletic Trainer based in Colonia, NJ. Bashir Murice Lauderdale practices in Colonia, NJ. The NPI Number for Bashir Murice Lauderdale is 1609520352. The current practice location address for Bashir Murice Lauderdale is 34 Candlewood CT, Colonia, NJ 07067-1503 and can be reached out via phone at 732-895-5965.
Provider Profile Details
- NPI Number
- 1609520352
- Provider Name
- Bashir Murice Lauderdale
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 34 Candlewood CT, Colonia, NJ 07067-1503
- Phone Number
- 732-895-5965
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 10, 2022
- Last Update Date
- February 10, 2022
- Certification Date
- February 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 Candlewood CT
Colonia, NJ 07067-1503 - City
- Colonia
- State
- New Jersey
- Zip
- 07067-1503
- Phone Number
- 732-895-5965
Provider Business Mailing Address Details
- Address
- 34 Candlewood CT
Colonia, NJ 07067-1503 - City
- Colonia
- State
- NJ
- Zip
- 07067-1503
- Phone Number
- 732-895-5965
License Information
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Bashir M Lauderdale?
The NPI number of Mr. Bashir M Lauderdale is 1609520352. It was assigned on February 10, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Bashir M Lauderdale?
Mr. Bashir M Lauderdale is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).
Where does Mr. Bashir M Lauderdale practice?
The practice location is 34 Candlewood CT, Colonia, NJ 07067-1503. The office can be reached at 732-895-5965 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609520352 directly on the NPPES registry website.