Provider Demographics
NPI:1871600999
Name:BAERMAN, ROBERT LEE JR (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:BAERMAN
Suffix:JR
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:339 N PEARL ST
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08312-1423
Mailing Address - Country:US
Mailing Address - Phone:609-417-3308
Mailing Address - Fax:
Practice Address - Street 1:201 KINGS HWY
Practice Address - Street 2:
Practice Address - City:WOOLWICH TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08085-5041
Practice Address - Country:US
Practice Address - Phone:856-467-3300
Practice Address - Fax:856-467-0962
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001241002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer