Provider Demographics
NPI:1508843624
Name:BADE, HARRY A III (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:A
Last Name:BADE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:776 SHREWSBURY AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3006
Mailing Address - Country:US
Mailing Address - Phone:732-530-4949
Mailing Address - Fax:732-212-1171
Practice Address - Street 1:776 SHREWSBURY AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3006
Practice Address - Country:US
Practice Address - Phone:732-530-4949
Practice Address - Fax:732-530-3618
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA41026207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ200026580OtherRR MEDICARE
NJ3222403Medicaid
NJ40354OtherAETNA
NJ0221805Medicaid
NJJ25332OtherHEALTHNET
NJP2987248OtherOXFORD
NJ0328229OtherUNITED HEALTHCARE
NJ310173900OtherUS DEPT OF LABOR
NJCC3884OtherRR MEDICARE GRP#
NJ917483OtherPHS/GUARDIAN
NJ510223AYKMedicare ID - Type UnspecifiedMEDICARE ID#
NJ3222403Medicaid
NJ0221805Medicaid