MEDICARE: DR. PAUL L BARON 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
1	208600000X	Surgery Physician	14892	SC
2	2086X0206X	Surgical Oncology Physician	14892	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1083661094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL L BARON MD

Provider Business Mailing Address
First Line	:	210 E 64TH ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7471
Country	:	US
Telephone Number	:	843-324-7137
Fax Number	:	849-724-2440

Provider Business Practice Location Address
First Line	:	210 E 64TH ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7471
Country	:	US
Telephone Number	:	212-434-6900
Fax Number	:	212-434-6950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	05/01/2023

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Directions to “ DR. PAUL L BARON MD” Practice Location

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