Active NPIIndividual provider

Dr. Bebi S Bacchus, MD

Pediatrics in Woolwich Twp, New Jersey

NPI Number1689606915
Practice location
300 Lexington RD, Bldg B, Ste 200, Woolwich Twp, NJ 08085-1278
Fax
856-241-2243
Last updated
August 25, 2011

Bebi Samantha Bacchus is a Pediatrics based in Woolwich Twp, NJ. Bebi Samantha Bacchus practices in Woolwich Twp, NJ and has the professional credentials of MD. The NPI Number for Bebi Samantha Bacchus is 1689606915 and holds a License No. 0101239333 (VA). The current practice location address for Bebi Samantha Bacchus is 300 Lexington RD, Bldg B, Ste 200, Woolwich Twp, NJ 08085-1278 and can be reached out via phone at 856-241-2111 and via fax at 856-241-2243.

Provider Profile Details

NPI Number
1689606915
Provider Name
Bebi Samantha Bacchus
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Lexington RD, Bldg B, Ste 200, Woolwich Twp, NJ 08085-1278
Phone Number
856-241-2111
Fax Number
856-241-2243
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2006
Last Update Date
August 25, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Lexington RD
Bldg B, Ste 200
Woolwich Twp, NJ 08085-1278
Zip
08085-1278
Phone Number
856-241-2111
Fax Number
856-241-2243
Woolwich Twp, NJ 08085Get directions →

Provider Business Mailing Address Details

Address
402 Lippincott Dr
Marlton, NJ 08053-4112
City
Marlton
State
NJ
Zip
08053-4112
Phone Number
856-782-3300
Fax Number
856-504-8029

License Information

License Number (1)
0101239333
License State (1)
VA
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
25MA06709200
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Bebi S Bacchus, MD?

The NPI number of Dr. Bebi S Bacchus, MD is 1689606915. It was assigned on July 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bebi S Bacchus, MD?

Dr. Bebi S Bacchus, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in VA under license number 0101239333.

Where does Dr. Bebi S Bacchus, MD practice?

The practice location is 300 Lexington RD, Bldg B, Ste 200, Woolwich Twp, NJ 08085-1278. The office can be reached at 856-241-2111 (phone) or 856-241-2243 (fax).

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 1689606915 directly on the NPPES registry website.

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