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CARL IRA BAUM MD
Developmental – Behavioral Pediatrics >> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1811178320
Individual Registrant: CARL IRA BAUM MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
21 TAMAL VISTA BLVD SUITE 240 CORTE MADERA, CA 94925-1130 US
Tel: 415-924-2205 Fax: --
Tel: 415-924-2205 Fax: --
Contact information for business:
21 TAMAL VISTA BLVD SUITE 240 CORTE MADERA, CA 94925-1130 US
Tel: 415-924-2205 Fax: --
Tel: 415-924-2205 Fax: --
Registration Information:
NPI: 1811178320
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2080P0006X | Allopathic & Osteopathic Physicians Pediatrics Developmental – Behavioral Pediatrics | CA | G34273 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
