Active NPIIndividual provider

Dr. Michael P Bagley, MD

Dermatology in Warren, New Jersey

NPI Number1790703486
Practice location
122 Mt Bethel RD Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059
Fax
908-756-8017
Last updated
February 13, 2013

Michael P Bagley is a Dermatology based in Warren, NJ. Michael P Bagley practices in Warren, NJ and has the professional credentials of MD. The NPI Number for Michael P Bagley is 1790703486 and holds a License No. 25MA04581000 (NJ). The current practice location address for Michael P Bagley is 122 Mt Bethel RD Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059 and can be reached out via phone at 908-756-7999 and via fax at 908-756-8017.

Provider Profile Details

NPI Number
1790703486
Provider Name
Michael P Bagley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
122 Mt Bethel RD Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059
Phone Number
908-756-7999
Fax Number
908-756-8017
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2006
Last Update Date
February 13, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
122 Mt Bethel RD Ste 1
Warren Dermatology Assoc LLC
Warren, NJ 07059
City
Warren
Zip
07059
Phone Number
908-756-7999
Fax Number
908-756-8017
Warren, NJ 07059Get directions →

Provider Business Mailing Address Details

Address
2 Ingram Circle
Aberdeen, NJ 07747
City
Aberdeen
State
NJ
Zip
07747
Phone Number
732-583-3886

License Information

License Number
25MA04581000
License State
NJ
Taxonomy
Dermatology · 207N00000X · 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. Michael P Bagley, MD?

The NPI number of Dr. Michael P Bagley, MD is 1790703486. It was assigned on July 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael P Bagley, MD?

Dr. Michael P Bagley, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MA04581000.

Where does Dr. Michael P Bagley, MD practice?

The practice location is 122 Mt Bethel RD Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059. The office can be reached at 908-756-7999 (phone) or 908-756-8017 (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 1790703486 directly on the NPPES registry website.

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