Bridgecare Provider Group LLC
NPI #1164148672 in Wayne, New Jersey
Provider Information
- NPI Number
- 1164148672
- Entity Type
- Organization
- Organization Name
- Bridgecare Provider Group LLC
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Oct 17, 2022
- Last Updated
- Oct 17, 2022
Practice Location
- Address
- 493 BLACK OAK RIDGE RD
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470-6501
- Phone
- (973) 692-9500
Authorized Official
- Name
- DR. IYAD BAKER
- Title
- OWNER
- Phone
- (201) 596-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Psychologist - Adult Development & Aging — Adult Development & Aging |
| Nurse Practitioner - Primary Care — Primary Care |
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