Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATT DANE BAKER, PA-C
ActiveMedical Physician Assistant · WRIGHTSTOWN, NJ
Registration Details
- NPI Number
- 1285620039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2005 (20.569460245497 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA000629L (PA)
Practice Information
- Address
-
108 MDG. NJ AIR NATIONAL GUARD.3466 NEELY ROAD. MCGUIRE AFBWRIGHTSTOWN, NJ, 086415406Browse NJ providers · Browse ZIP 08641
- Phone
- 6097542635
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.