MEDICARE: ARNOLD S BACARRO MD PA

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	25MA06598400	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	110226621	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	116200100	OTHER	NJ	US DEPT. OF LABOR OWC
2	5276867	OTHER	NJ	CIGNA
3	2105003	OTHER	NJ	AETNA
4	2509993	OTHER	NJ	GHI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P793188	OTHER	NJ	OXFORD
7	1147468	OTHER	NJ	HORIZON NJ HEALTH
8	953393	OTHER	NJ	INDEPENDENCE BLUE CROSS
9	80770	OTHER	NJ	HEALTH PARTNERS
11	1K7979	OTHER	NJ	HEALTHNET
12	77422	OTHER	NJ	OPERATING ENGRS LOCAL 825
13	0869899001	OTHER	NJ	AMERIHEALTH
14	0869899002	OTHER	NJ	AMERIHEALTH

General Provider Information

NPI Number	:	1265554760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARNOLD S BACARRO MD PA

Provider Business Mailing Address
First Line	:	5429 HARDING HWY
Second Line	:	SUITE 301
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-2263
Country	:	US
Telephone Number	:	609-625-4430
Fax Number	:	609-625-4436

Provider Business Practice Location Address
First Line	:	5429 HARDING HWY
Second Line	:	SUITE 301
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-2263
Country	:	US
Telephone Number	:	609-625-4430
Fax Number	:	609-625-4436

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARNOLD SAGUIN BACARRO
Credential	:	M.D.
Telephone Number	:	609-625-4430

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/26/2011

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