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Contact Information

YOUNG C BAE, MD
512 LAKEHURST RD
TOMS RIVER, NJ08755-8021
 Phone: 732-240-0053
 Fax: 732-240-9360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for YOUNG C BAE · (Male)

NPI Number 1124021423
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2005
Last updated 02/27/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0020114
  • NJ License # 25MA07552800
  • MD Medicaid 52565
  • WV Medicaid 0117936000
  • MD Other 1743YC MEDICARE#
  • NJ Other P00336175 RAILROAD MEDICARE
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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