# TERRANCE L BAKER MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154476091
- **Authorized official:** TERRANCE LEE BAKER MD (OWNER)
- **Authorized official phone:** (410) 592-9889

## Contact information

- **Practice address:** 5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
- **Practice address phone:** (410) 592-9889
- **Practice address fax:** (410) 592-8464
- **Mailing address:** 7027 MOUNT VISTA RD, KINGSVILLE, MD 21087-1331
- **Mailing address phone:** (410) 592-9889
- **Mailing address fax:** (410) 592-8464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | D0058570 | MD | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 04/18/2023