Provider Demographics
NPI:1205971462
Name:BARAN, M PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:M
Middle Name:PATRICIA
Last Name:BARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CREST LAKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-8984
Mailing Address - Country:US
Mailing Address - Phone:973-697-1748
Mailing Address - Fax:973-208-8812
Practice Address - Street 1:31 CREST LAKE DRIVE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07438-8984
Practice Address - Country:US
Practice Address - Phone:973-697-1748
Practice Address - Fax:973-208-8812
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03218700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics