Individual provider · NPI-1

Joel J Bauer, MD

Colon & Rectal Surgery · New York, NY

NPI number1689642704
StatusActive
Last updated in NPPESMar 27, 2008

Details

NPI
1689642704
Entity type
Individual (NPI-1)
Name
Joel J Bauer
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 14, 2006
Last updated
Mar 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery102125NYYes

Practice location

25 East 69th Street
New York, NY 10021-4925

Phone 212-517-8600 · Fax 212-535-3717

Mailing address

25 East 69th Street
New York, NY 10021-4925

Phone 212-517-8600 · Fax 212-535-3717

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