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NPI Code Detail

MEDICARE: DR. STEPHEN ROBERT BAUMGARTEN MD

MEDICARE: DR. STEPHEN ROBERT BAUMGARTEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician109278NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033110960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN ROBERT BAUMGARTEN MD
Provider Business Mailing Address
First Line : 2301 OCEAN AVE
Second Line : SUITE 1A
City : BROOKLYN
State : NY
Zip : 11229-3149
Country : US
Telephone Number : 718-382-8777
Fax Number : 718-228-8362
Provider Business Practice Location Address
First Line : 2301 OCEAN AVE
Second Line : SUITE 1A
City : BROOKLYN
State : NY
Zip : 11229-3149
Country : US
Telephone Number : 718-382-8777
Fax Number : 718-228-8362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 08/26/2008

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