MEDICARE: TARYN BAER-SHALEV MD MPH

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	208000000X	Pediatrics Physician	233488	NY
2	208000000X	Pediatrics Physician	049604	CT
3	208000000X	Pediatrics Physician	2020-03124	NC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306004163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARYN BAER-SHALEV MD MPH

Provider Business Mailing Address
First Line	:	401 IRVING PKWY
Second Line	:	STE 130
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-5301
Country	:	US
Telephone Number	:	203-371-7111
Fax Number	:	203-332-0376

Provider Business Practice Location Address
First Line	:	401 IRVING PKWY STE 230
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-5301
Country	:	US
Telephone Number	:	919-385-8850
Fax Number	:	919-385-8850

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

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	01/03/2024

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