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Contact Information

EDUARDO R BAUTISTA, MD
19 DAVIS AVE FL 7
NEPTUNE CITY, NJ07753-4488
 Phone: 732-776-4524
 Fax: 732-776-4639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EDUARDO R BAUTISTA · (Male)

NPI # 1265405880
Status Active
Credentials MD
Entity Individual
Enumeration date 02/13/2006
Last updated 11/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06285400
  • NJ License # MA062854
  • NJ Medicaid 7856506
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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