Walid J. Baddoura M.D.,P.A.

LBN: Walid J. Baddoura M.D.,P.A.
Walid J. Baddoura M.D.,P.A. is an health care organization with primary practice located at 716 Broad St , Clifton NJ 07013-1645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Walid J. Baddoura M.D.,P.A. can be contacted via phone (973) 777-7733, or through Baddoura, Walid J via phone (973) 777-7733.

Contact Information

Primary practice address
716 Broad St Clifton NJ 07013-1645
Phone: (973) 777-7733
Fax: (973) 777-0669
Website:
Map and Directions
Authorized official contact:
Name: Baddoura, Walid J Doctor of Medicine (MD)
Phone: (973) 777-7733

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MA33827 New Jersey

Profile Details

NPI number 1467544015
LBN Legal business name Walid J. Baddoura M.D.,P.A.
DBA Doing business as
Authorized official Baddoura, Walid J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Dec 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467544015 NPPES
New Jersey MEDICAID 3075001

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