Baker, Brad J

Baker, Brad J is an individual health care provider with primary practice located at 67 Belmont Street Suite 302, Worcester MA 01605. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Baker, Brad J can be contacted via phone (508) 752-1155.

Contact Information

Primary practice address
67 Belmont Street Suite 302 Worcester MA 01605
Phone: (508) 752-1155
Fax: (508) 752-4862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 210064 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 210064 Massachusetts
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 210064 Massachusetts

Profile Details

NPI number 1508853821
LBN Legal business name Baker, Brad J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Apr 12th, 2017 - about 7 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 1508853821 NPPES
Massachusetts Other 346887 AETNA
Massachusetts MEDICAID 110003432A AETNA
Massachusetts Other A3273704 AETNA
Massachusetts Other 153541 AETNA
Massachusetts Other 210064 AETNA
Massachusetts Other J23796 AETNA
Massachusetts Other 6791968005 AETNA

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