Baum-Gupta, Carol L

Baum-Gupta, Carol L is an individual health care provider with primary practice located at 555 Prospect Street , Pawtucket RI 02860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Baum-Gupta, Carol L can be contacted via phone (401) 729-6200.

Contact Information

Primary practice address
555 Prospect Street Pawtucket RI 02860
Fax: (401) 729-6203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD12633 Rhode Island

Profile Details

NPI number 1598922809
LBN Legal business name Baum-Gupta, Carol L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Sep 2nd, 2011 - about 14 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 1598922809 NPPES
Rhode Island MEDICAID CB85575
Rhode Island Other 002284501

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