MEDICARE: JANET BAER 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	2085R0202X	Diagnostic Radiology Physician	54750	MA

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	:	1265427074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET BAER MD

Provider Business Mailing Address
First Line	:	1493 CAMBRIDGE ST
Second Line	:	RADIOLOGY DEPARTMENT
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-1047
Country	:	US
Telephone Number	:	617-665-1240
Fax Number	:

Provider Business Practice Location Address
First Line	:	1493 CAMBRIDGE ST
Second Line	:	RADIOLOGY DEPARTMENT
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-1047
Country	:	US
Telephone Number	:	617-665-1240
Fax Number	:

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	02/09/2012

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