Provider Demographics
NPI:1619917507
Name:BAUMANN, JOHN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:BAUMANN
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 1:9 CENTRE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-5153
Mailing Address - Country:US
Mailing Address - Phone:609-655-5755
Mailing Address - Fax:609-655-5725
Practice Address - Street 1:9 CENTRE DR STE 115
Practice Address - Street 2:
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-5153
Practice Address - Country:US
Practice Address - Phone:609-655-5755
Practice Address - Fax:609-655-5725
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA045898002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2512203Medicaid
NJ1790396281OtherTITAN HEALTH GROUP NPI#
NJ553230Medicare ID - Type Unspecified
PA093971Medicare PIN