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Individual
DR. BRAD J BAKER
Active
Individual
DR. BRAD J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
210064
MA
207W00000X
Ophthalmology Physician
210064
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
210064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110003432A
—
MA
01
—
153541
HARVARD PILGRIM HEALTH CA
MA
01
—
210064
TUFTS HEALTH PLAN
MA
01
—
346887
AETNA
MA
01
—
6791968005
CIGNA
MA
01
—
A3273704
MEDICARE PTAN
MA
01
—
J23796
BCBS
MA
Enumeration date
10/03/2005
Last updated
04/12/2017
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