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Contact Information

ALEXANDRA BADIE, PHYSICIAN ASSISTANT
311 BAY AVE STE 20
GLEN RIDGE, NJ07028-1607
 Phone: 973-746-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALEXANDRA BADIE · (Female)

NPI Number 1194497198
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 09/29/2021
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MP00665500
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
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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