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1760460703
AMELIA B BAUTISTA
CAMDEN, NJ
NPI
1760460703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: NJ 25MA04033000)
Enumeration Date
2006-01-09
Last Update Date
2012-06-30
Business Address
-- AMELIA B BAUTISTA
1600 HADDON AVE ICN
CAMDEN, NJ 08103-3101
Phone number: 856-757-3988
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Mailing Address
-- AMELIA B BAUTISTA
500 GROVE ST SUITE 100
HADDON HEIGHTS, NJ 08035-1761
Phone number: 856-796-9200
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