Healthcare Provider Details

I. General information

NPI: 1730155607
Provider Name (Legal Business Name): ALAN BAER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 LOCH RAVEN BLVD
BALTIMORE MD
21239-2945
US

IV. Provider business mailing address

PO BOX 64264 6TH FLOOR
BALTIMORE MD
21264-4264
US

V. Phone/Fax

Practice location:
  • Phone: 443-444-4646
  • Fax:
Mailing address:
  • Phone: 410-550-1887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number165386
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD65600
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: