Provider Demographics
NPI:1629368352
Name:BAIRD, JAMILA (MD)
Entity Type:Individual
Prefix:
First Name:JAMILA
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JAMILA
Other - Middle Name:
Other - Last Name:HUSSAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:250 ROUTE 28 STE 100
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1979
Mailing Address - Country:US
Mailing Address - Phone:908-237-4135
Mailing Address - Fax:908-237-4136
Practice Address - Street 1:250 ROUTE 28 STE 100
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1979
Practice Address - Country:US
Practice Address - Phone:908-237-4135
Practice Address - Fax:908-237-4136
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09503300208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist