Provider Demographics
NPI:1326355645
Name:ROCKAWAY ANIMAL CLINIC
Entity Type:Organization
Organization Name:ROCKAWAY ANIMAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:BAEDER
Authorized Official - Suffix:III
Authorized Official - Credentials:DVM
Authorized Official - Phone:973-627-0789
Mailing Address - Street 1:328 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-3836
Mailing Address - Country:US
Mailing Address - Phone:973-627-0789
Mailing Address - Fax:973-627-0897
Practice Address - Street 1:328 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3836
Practice Address - Country:US
Practice Address - Phone:973-627-0789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100157500284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital