Baum, Michelle A

Baum, Michelle A is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Baum, Michelle A can be contacted via phone (617) 355-6129.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6129
Fax: (617) 730-0569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 77307 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77307 Massachusetts

Profile Details

NPI number 1104897925
LBN Legal business name Baum, Michelle A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 28th, 2014 - about 10 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 1104897925 NPPES
Massachusetts MEDICAID 3153290

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