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NPI Code Detail

MEDICARE: DR. MONICA KATHLEEN BAUER M.D.

MEDICARE: DR. MONICA KATHLEEN BAUER 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
1207V00000XObstetrics & Gynecology PhysicianP31319MD
2207V00000XObstetrics & Gynecology PhysicianD0087847MD

General Provider Information

NPI Number : 1336527712
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA KATHLEEN BAUER M.D.
Provider Business Mailing Address
First Line : 10710 CHARTER DR STE 200
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3259
Country : US
Telephone Number : 410-884-8000
Fax Number :
Provider Business Practice Location Address
First Line : 10710 CHARTER DR STE 200
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3259
Country : US
Telephone Number : 410-884-8000
Fax Number : 410-367-2474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2015
Last Update Date : 05/28/2020

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