Son, Chang Bae

Son, Chang Bae is an sole proprietor health care provider with primary practice located at 200 Grand Ave 201 , Englewood NJ 07631-4363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Son, Chang Bae can be contacted via phone (201) 944-3800.

Contact Information

Primary practice address
200 Grand Ave 201 Englewood NJ 07631-4363
Phone: (201) 944-3800
Fax: (201) 944-3804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD425589 Pennsylvania
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MA08185100 New Jersey

Profile Details

NPI number 1063493898
LBN Legal business name Son, Chang Bae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Feb 12th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063493898 NPPES
New Jersey Other 25MA08185100 NJ LICENSE

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