Provider Demographics
NPI:1518063577
Name:LAUFER, BEATRICE (MD)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:LAUFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BEATRICE
Other - Middle Name:
Other - Last Name:LAUFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8100 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047
Mailing Address - Country:US
Mailing Address - Phone:201-866-6770
Mailing Address - Fax:201-866-6771
Practice Address - Street 1:8100 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047
Practice Address - Country:US
Practice Address - Phone:201-866-6770
Practice Address - Fax:201-866-6771
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08133000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0113522Medicaid
NJ0113522Medicaid