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NPI Code Detail

MEDICARE: DR. ROBERT EDWARD BAUTE M.D.

MEDICARE: DR. ROBERT EDWARD BAUTE M.D.
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
1207RP1001XPulmonary Disease Physician4165RI

General Provider Information

NPI Number : 1457470346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT EDWARD BAUTE M.D.
Provider Business Mailing Address
First Line : 20 OLD LYME DR
Second Line :
City : WARWICK
State : RI
Zip : 02886-9519
Country : US
Telephone Number : 401-644-7845
Fax Number :
Provider Business Practice Location Address
First Line : 455 TOLL GATE RD
Second Line : WOUND RECOVERY AND HYPERBARIC MEDICINE CENTER
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 401-736-4646
Fax Number : 401-736-4248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 03/15/2009

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