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Contact Information

AMELIA B BAUTISTA
1600 HADDON AVE
ICN
CAMDEN, NJ08103-3101
 Phone: 856-757-3988
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AMELIA B BAUTISTA · (Female)

NPI # 1760460703
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2006
Last updated 06/30/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA04033000
  • NJ Medicaid 3987001
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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