MEDICARE: DR. NANCY ELIZABETH BAEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	187019	NY
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	187019	NY

General Provider Information

NPI Number	:	1982700894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY ELIZABETH BAEL M.D.

Provider Business Mailing Address
First Line	:	61 MADISON ST
Second Line	:	UPPER UNIT
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-1805
Country	:	US
Telephone Number	:	201-216-1385
Fax Number	:	212-937-2226

Provider Business Practice Location Address
First Line	:	61 MADISON ST
Second Line	:	UPPER UNIT
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-1805
Country	:	US
Telephone Number	:	201-216-1385
Fax Number	:	212-937-2226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	05/26/2023

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