MEDICARE: LINDA BAHOUTH MD

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	207V00000X	Obstetrics & Gynecology Physician	280279	NY
2	207V00000X	Obstetrics & Gynecology Physician	25MA10704400	NJ

General Provider Information

NPI Number	:	1275973174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA BAHOUTH MD

Provider Business Mailing Address
First Line	:	111 MADISON AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6097
Country	:	US
Telephone Number	:	973-285-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 MADISON AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6097
Country	:	US
Telephone Number	:	718-226-9269
Fax Number	:

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

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	01/15/2026

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Directions to “ LINDA BAHOUTH MD” Practice Location

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