Bebi Samantha Bacchus, MD
Pediatrics Physician · Woolwich TWP, NJ
Practice location
300 Lexington RdBldg B, Ste 200
Woolwich TWP, NJ 08085-1278
- Phone
- (856) 241-2111
- Fax
- (856) 241-2243
NPI record
- NPI
- 1689606915
- Entity type
- Individual (Type 1)
- Enumeration date
- July 7, 2006
- Last updated
- August 25, 2011
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
25MA06709200 | NJ |
| Pediatrics Physician | 208000000X |
0101239333 | VA |
Mailing address
402 Lippincott DrMarlton, NJ 08053-4112
- Phone
- (856) 782-3300
- Fax
- (856) 504-8029
About Dr. Bacchus
Bebi Samantha Bacchus, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 300 Lexington Rd, Bldg B, Ste 200, Woolwich TWP, NJ 08085-1278. The NPI number 1689606915 was assigned on July 7, 2006 and the record was last updated on August 25, 2011.
Dr. Bacchus lists 2 licenses in the registry: #25MA06709200 (NJ) for Pediatrics Physician; #0101239333 (VA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Bebi Samantha Bacchus, MD?
The NPI number is 1689606915.
What is the phone number of Dr. Bacchus?
The phone number listed for the practice location is (856) 241-2111.
Where is Dr. Bacchus located?
300 Lexington Rd, Bldg B, Ste 200, Woolwich TWP, NJ 08085-1278.
What is the taxonomy code for Dr. Bacchus?
The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.