Individual provider · NPI-1

Andrew O Baddoo, M.D.

Internal Medicine · West Orange, NJ

NPI number1881653608
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1881653608
Entity type
Individual (NPI-1)
Name
Andrew O Baddoo
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 21, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine25MA07083600NJYes

Practice location

745 Northfield Ave
West Orange, NJ 07052-1144

Phone 973-731-3800

Mailing address

48 Bristol Rd
Piscataway, NJ 08854-3692

Phone 732-271-8603

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