Michael P Bagley in Warren - Dermatology

Michael P Bagley - NPI 1790703486

Michael P Bagley is a Dermatology in Warren, New Jersey. Michael P Bagley practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Michael P Bagley is 1790703486. The last update date is 2013-02-13.

Michael P Bagley's current location address is 122 Mt Bethel Rd Ste 1, Warren, New Jersey. You can contact this provider via phone number 9087567999 and fax number 9087568017. The mailing address for Michael P Bagley is 122 Mt Bethel Rd Ste 1, Warren, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael P Bagley
Address 122 Mt Bethel Rd Ste 1, Warren, New Jersey
Phone Number 9087567999
Fax Number 9087568017
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790703486
Provider Enumeration Date 2006-07-18
Last Updated Date 2013-02-13

Provider Mailing Address Detail

Address 122 Mt Bethel Rd Ste 1
City Warren
State New Jersey (NJ)
Post Code 7059
Phone Number 9087567999
Fax Number 9087568017

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 25MA04581000
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
223824190 NJ GROUP TAX ID

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FAQs about Michael P Bagley

What is the unique provider identifier assigned to Michael P Bagley?

The Michael P Bagley has been issued the NPI (National Provider Identifier) 1790703486 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Michael P Bagley located?

The Michael P Bagley is located at 122 Mt Bethel Rd Ste 1, Warren, NJ 7059.

What is Michael P Bagley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michael P Bagley's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790703486 to Michael P Bagley?

The Centers for Medicare & Medicaid Services assigned the 1790703486 to Michael P Bagley on 2006-07-18.

When was the information regarding Michael P Bagley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michael P Bagley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-13.

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