SHAZAM BACCHUS, APN
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1972133254
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | 26NJ01004000 (NJ) |
Frequently Asked Questions
NPI 1972133254 is the National Provider Identifier for SHAZAM BACCHUS, APN, a Nurse Practitioner - Primary Care provider located in Newark, NJ. This NPI was enumerated on January 24, 2020.
SHAZAM BACCHUS, APN practices at 459 N 7TH ST FL 1, Newark, NJ 07107.
Quick Facts
- NPI
- 1972133254
- Type
- Individual
- Enumerated
- Jan 24, 2020
- Last Updated
- Jan 24, 2020
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