Provider Demographics
NPI:1881204766
Name:BAH, ALPHA UMARU
Entity Type:Individual
Prefix:
First Name:ALPHA
Middle Name:UMARU
Last Name:BAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MEADOW HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5332
Mailing Address - Country:US
Mailing Address - Phone:732-593-9222
Mailing Address - Fax:
Practice Address - Street 1:14 MEADOW HILLS DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5332
Practice Address - Country:US
Practice Address - Phone:732-593-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health