Search › New Jersey › 363LP2300X
Shazam Bacchus, APN
NPI 1972133254 · on the registry since 2020
Practice
- Address
- 459 N 7th St Fl 1
Newark, NJ 07107 - Phone
- (973) 388-9560
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey