Bae, Donald S

Bae, Donald S is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Bae, Donald S can be contacted via phone (617) 355-6808.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Fax: (617) 730-0459
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 207071 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 207071 Massachusetts
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 207071 Massachusetts

Profile Details

NPI number 1831154111
LBN Legal business name Bae, Donald S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Oct 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831154111 NPPES
Massachusetts MEDICAID 2004054

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