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DR. KATHRYN A BAKER D.O.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447224241

Individual Registrant:
DR. KATHRYN A BAKER D.O.
Gender: F
Sole Proprietor

Location and contact information for practice:
5520 PARK AVE SUITE 206 TRUMBULL, CT 06611-3463 US
Tel: 203-371-8790  Fax: 203-373-0463

Contact information for business:
5520 PARK AVE SUITE 206 TRUMBULL, CT 06611-3463 US
Tel: 203-371-8790  Fax: 203-373-0463

Registration Information:
NPI: 1447224241
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CT039274

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UNITEDHEALTHCARE2492148CT01
AETNA HEALTH PLANS7505300CT01
HEALTHNET2V6930CT01
CIGNA6253862CT01
OXFORD PROVIDER #P2654371CA01
BLUE CROSS OF CT040039274CT01CT01
CONNECTICARE713945CT01




HEALTH CARE JOBS CT - Page 1



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