Healthcare Provider Details

I. General information

NPI: 1487749313
Provider Name (Legal Business Name): NATAN BAUMAN ED.,M.S.,ENG.,FAAA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3074 WHITNEY AVE BLDG 1
HAMDEN CT
06518-2391
US

IV. Provider business mailing address

625 REDSTONE DR
CHESHIRE CT
06410-1749
US

V. Phone/Fax

Practice location:
  • Phone: 475-227-0842
  • Fax: 203-745-0402
Mailing address:
  • Phone: 203-623-7323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000115
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number000115
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: