Provider Demographics
NPI:1164453049
Name:BAKER, MICHELLE RAPACON (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:RAPACON
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:RAPACON-BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:47 OLD CHESTER RD
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:NJ
Mailing Address - Zip Code:07934-2030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3799 ROUTE 46
Practice Address - Street 2:SUITE 211
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1055
Practice Address - Country:US
Practice Address - Phone:973-335-1122
Practice Address - Fax:973-335-1448
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08394800207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology