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DR. KATHRYN A BAKER D.O.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1447224241
Individual Registrant:DR. KATHRYN A BAKER D.O.
Gender: F
Sole Proprietor
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
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
Tel: 203-371-8790 Fax: 203-373-0463
Registration Information:
NPI: 1447224241
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | CT | 039274 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| UNITEDHEALTHCARE | 2492148 | CT | 01 |
| AETNA HEALTH PLANS | 7505300 | CT | 01 |
| HEALTHNET | 2V6930 | CT | 01 |
| CIGNA | 6253862 | CT | 01 |
| OXFORD PROVIDER # | P2654371 | CA | 01 |
| BLUE CROSS OF CT | 040039274CT01 | CT | 01 |
| CONNECTICARE | 713945 | CT | 01 |
