Provider Demographics
NPI:1386192706
Name:BAI LI MEDICAL HEALTH CENTER
Entity Type:Organization
Organization Name:BAI LI MEDICAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YUN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-966-8800
Mailing Address - Street 1:171 RIDGEDALE AVE
Mailing Address - Street 2:STE. 1F
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1764
Mailing Address - Country:US
Mailing Address - Phone:973-966-8800
Mailing Address - Fax:973-966-8808
Practice Address - Street 1:171 RIDGEDALE AVE.
Practice Address - Street 2:STE. 1F
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:973-966-8800
Practice Address - Fax:973-966-8808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service