MEDICARE: MRS. MARIA DEL CARMEN SILVA BAKER BS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1033376025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA DEL CARMEN SILVA BAKER BS

Provider Business Mailing Address
First Line	:	26 SHORT HILL RD
Second Line	:
City	:	NORTH HAVEN
State	:	CT
Zip	:	06473-4449
Country	:	US
Telephone Number	:	203-645-3250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 STATE ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-2702
Country	:	US
Telephone Number	:	203-752-1350
Fax Number	:	203-752-1769

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

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	05/19/2008

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