Healthcare Provider Details

I. General information

NPI: 1619959830
Provider Name (Legal Business Name): JANET M BAKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 07/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21475 RIDGETOP CIR STE 150
STERLING VA
20166-6580
US

IV. Provider business mailing address

159 MILL GREEN AVE UNIT 100
GAITHERSBURG MD
20878-5857
US

V. Phone/Fax

Practice location:
  • Phone: 703-444-5000
  • Fax: 703-444-4999
Mailing address:
  • Phone: 703-232-3844
  • Fax: 703-320-8834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101235820
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: