Provider Demographics
NPI:1871137471
Name:MICHEL S BADIN MD LLC
Entity type:Organization
Organization Name:MICHEL S BADIN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BADIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-433-4848
Mailing Address - Street 1:1947 JOHN F KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1436
Mailing Address - Country:US
Mailing Address - Phone:201-433-4848
Mailing Address - Fax:201-360-0159
Practice Address - Street 1:1947 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-1436
Practice Address - Country:US
Practice Address - Phone:201-433-4848
Practice Address - Fax:201-360-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty