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DR. ERIC D. BAUM MD

>> Specialist >> Other Service Providers

Registrant NPI Number: 1154378065

Individual Registrant:
DR. ERIC D. BAUM MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
230 BOSTON POST RD  MADISON, CT 06443-2225 US
Tel: 203-245-0496  Fax: 203-245-8697

Contact information for business:
230 BOSTON POST RD  MADISON, CT 06443-2225 US
Tel: 203-245-0496  Fax: 203-245-8697

Registration Information:
NPI: 1154378065
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
CT044185
Y2080S0012XAllopathic & Osteopathic Physicians
Pediatrics
CT044185
N208000000XAllopathic & Osteopathic Physicians
Pediatrics
CT044185

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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