Bagley, Michael P
Bagley, Michael P is an individual health care provider with primary practice located at 122 Mt Bethel Rd Ste 1 Warren Dermatology Assoc Llc, Warren NJ 07059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bagley, Michael P can be contacted via phone (908) 756-7999.Contact Information
Primary practice address
122 Mt Bethel Rd Ste 1 Warren Dermatology Assoc Llc
Warren NJ 07059
Phone: (908) 756-7999
Fax: (908) 756-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA04581000 | New Jersey |
Profile Details
| NPI number | 1790703486 |
|---|---|
| LBN Legal business name | Bagley, Michael P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 13th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790703486 | NPPES |
| New Jersey | Other | 223824190 | GROUP TAX ID |
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