person
Shazam Bacchus, APN
Primary Care Nurse Practitioner in Newark, New Jersey
NPI 1972133254

Shazam Bacchus is a Primary Care Nurse Practitioner based in Newark, NJ and is specialized in Primary Care. Shazam Bacchus practices in Newark, NJ and has the professional credentials of APN. The NPI Number for Shazam Bacchus is 1972133254 and holds a License No. 26NJ01004000 (New Jersey).

The current practice location address for Shazam Bacchus is 459 N 7Th St Fl 1, Newark, NJ and can be reached out via phone at 973-388-9560. You can also correspond with Shazam Bacchus through the mailing address at 459 N 7TH ST FL 1, NEWARK, NJ - 07107-3743 (mailing address contact number: 973-388-9560).

Location: 459 N 7Th St Fl 1, Newark, NJ, 07107-3743
person
Provider Profile Details
NPI Number
1972133254
Provider Name
Shazam Bacchus
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
459 N 7Th St Fl 1, Newark, NJ, 07107-3743
Phone Number
973-388-9560
Fax Number
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
459 N 7Th St Fl 1
City
State
Zip
07107-3743
Phone Number
973-388-9560
Fax Number
person
Provider Business Mailing Address Details
Address
459 N 7Th St Fl 1
City
State
Zip
07107-3743
Phone Number
973-388-9560
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
26NJ01004000 (New Jersey)
Definition
Definition to come...
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