MEDICARE: DR. HOWARD BAUM M.D.

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	207X00000X	Orthopaedic Surgery Physician	184624-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063529287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD BAUM M.D.

Provider Business Mailing Address
First Line	:	476 BAY RIDGE PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-2702
Country	:	US
Telephone Number	:	718-238-2661
Fax Number	:	718-238-2664

Provider Business Practice Location Address
First Line	:	476 BAY RIDGE PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-2702
Country	:	US
Telephone Number	:	718-238-2661
Fax Number	:	718-238-2664

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	04/15/2011

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