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
Phone: (617) 355-6808
Fax: (617) 730-0459
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831154111 | NPPES |
Massachusetts | MEDICAID | 2004054 |
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