Healthcare Provider Details

I. General information

NPI: 1154375038
Provider Name (Legal Business Name): STEVEN ROBERT BAYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROOKLINE PL STE 302 BOSTON IVF - THE BOSTON CENTER
BROOKLINE MA
02445-7237
US

IV. Provider business mailing address

1 BROOKLINE PL STE 302 BOSTON IVF - THE BOSTON CENTER
BROOKLINE MA
02445-7237
US

V. Phone/Fax

Practice location:
  • Phone: 617-735-9000
  • Fax: 617-738-8993
Mailing address:
  • Phone: 617-735-9000
  • Fax: 617-738-8993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number54954
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD10619
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number10741
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number54954
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD10619
License Number StateRI
# 6
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number10741
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: