Provider Demographics
NPI:1942961628
Name:BAIDOO, HELENA MARIE-JOSEPH
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:MARIE-JOSEPH
Last Name:BAIDOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 STATE ST APT 246
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5487
Mailing Address - Country:US
Mailing Address - Phone:551-497-0550
Mailing Address - Fax:
Practice Address - Street 1:188 CEDAR LN
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4302
Practice Address - Country:US
Practice Address - Phone:200-287-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04141000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist