MEDICARE: DR. JOHN C. BAUMANN 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	2085R0001X	Radiation Oncology Physician	25MA04589800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1790396281	OTHER	NJ	TITAN HEALTH GROUP NPI#

General Provider Information

NPI Number	:	1619917507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN C. BAUMANN MD

Provider Business Mailing Address
First Line	:	9 CENTRE DR STE 115
Second Line	:
City	:	MONROE TWP
State	:	NJ
Zip	:	08831-5153
Country	:	US
Telephone Number	:	609-655-5755
Fax Number	:	609-655-5725

Provider Business Practice Location Address
First Line	:	9 CENTRE DR STE 115
Second Line	:
City	:	MONROE TWP
State	:	NJ
Zip	:	08831-5153
Country	:	US
Telephone Number	:	609-655-5755
Fax Number	:	609-655-5725

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/20/2021

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