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CARL IRA BAUM MD

Developmental Behavioral Pediatrics >> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1811178320

Individual Registrant:
 CARL IRA BAUM MD
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: --

Contact information for business:
21 TAMAL VISTA BLVD SUITE 240 CORTE MADERA, CA 94925-1130 US
Tel: 415-924-2205  Fax: --

Registration Information:
NPI: 1811178320
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080P0006XAllopathic & Osteopathic Physicians
Pediatrics
Developmental Behavioral Pediatrics
CAG34273

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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