DANIEL BAUTISTA

HACKENSACK, NJ
NPI1053849620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NJ  25MA10795100Ne)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-26
Last Update Date2020-09-15
Business Address
DANIEL BAUTISTA MD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
Mailing Address
DANIEL BAUTISTA MD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: