MEDICARE: DR. CATHERINE M BAUER 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
1	2084P0804X	Child & Adolescent Psychiatry Physician	52905	MA

General Provider Information

NPI Number	:	1699832501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE M BAUER M.D.

Provider Business Mailing Address
First Line	:	44 WINTHROP RD
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02421-5526
Country	:	US
Telephone Number	:	781-246-1711
Fax Number	:	781-862-1315

Provider Business Practice Location Address
First Line	:	44 WINTHROP RD
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02421-5526
Country	:	US
Telephone Number	:	781-246-1711
Fax Number	:	781-862-1315

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	01/31/2024

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