Provider Demographics
NPI:1275609885
Name:BAUER, FRANCIS DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:DOUGLAS
Last Name:BAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 MCBRIDE AVE
Mailing Address - Street 2:SUITE C 202
Mailing Address - City:WEST PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2570
Mailing Address - Country:US
Mailing Address - Phone:973-237-0077
Mailing Address - Fax:973-237-0333
Practice Address - Street 1:999 MCBRIDE AVE
Practice Address - Street 2:SUITE C 202
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2570
Practice Address - Country:US
Practice Address - Phone:973-237-0077
Practice Address - Fax:973-237-0333
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA54711207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6025307Medicaid
NJ6025307Medicaid
NJBA642157Medicare ID - Type Unspecified