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NPI Code Detail

MEDICARE: DR. PETER G. BAUER M.D.

MEDICARE: DR. PETER G. 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
1207L00000XAnesthesiology Physician232203-1NY

Other Identifiers

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

General Provider Information

NPI Number : 1669466090
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER G. BAUER M.D.
Provider Business Mailing Address
First Line : 450 CLARKSON AVE
Second Line : BOX 1262
City : BROOKLYN
State : NY
Zip : 11203-2056
Country : US
Telephone Number : 718-270-8867
Fax Number : 718-270-1794
Provider Business Practice Location Address
First Line : 450 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2056
Country : US
Telephone Number : 718-270-3126
Fax Number : 718-270-3797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 07/08/2007

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