Shazam Bacchus, APN is a primary care nurse practitioner in Newark, NJ. Shazam Bacchus, APN NPI is 1972133254. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
459 N 7TH ST FL 1
NEWARK, NJ
ZIP 07107-743
Phone: (973) 388-9560
The NPI 1972133254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/24/2020 and was last updated on 1/24/2020.