MEDICARE: DR. CAROLINE ROBYN BAUMAL 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	174400000X	Specialist	81201	MA
2	207WX0108X	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	81201	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	:	1891759106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE ROBYN BAUMAL MD

Provider Business Mailing Address
First Line	:	260 TREMONT ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02116-5603
Country	:	US
Telephone Number	:	617-256-7684
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 TREMONT ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02116-5603
Country	:	US
Telephone Number	:	617-636-1486
Fax Number	:	617-636-4866

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	07/02/2025

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