Baum, Carl Raphael

Baum, Carl Raphael is an individual health care provider with primary practice located at 20 York St Yale-New Haven Children'S Hosp-Emergency Dept, New Haven CT 06510-3220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Baum, Carl Raphael can be contacted via phone (203) 688-7970.

Contact Information

Primary practice address
20 York St Yale-New Haven Children'S Hosp-Emergency Dept New Haven CT 06510-3220
Phone: (203) 688-7970
Fax: (203) 688-4809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 038684 Connecticut
Allopathic & Osteopathic Physicians / Medical Toxicology 2080T0002X 03684 Connecticut

Profile Details

NPI number 1740261049
LBN Legal business name Baum, Carl Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated May 9th, 2008 - about 16 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 1740261049 NPPES
Connecticut MEDICAID 001386847

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