Individual
DR. GREGORY BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN ST, DEPARTMENT OF ANESTHESIOLOGY, PATERSON, NJ 07503-2621
(973) 754-2323
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
25MA08706900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243841
—
NJ
Enumeration date
05/17/2007
Last updated
03/09/2015
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