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Individual

ALVA S BAKER III

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
710 OBRECHT RD, SYKESVILLE, MD 21784-7650
(410) 795-8808
(410) 552-0344
Mailing address
710 OBRECHT RD, SYKESVILLE, MD 21784-7650
(410) 795-8808
(410) 552-0344

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO8258
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4124316OO
MD
01
T8620002
BCBS
MD
Enumeration date
07/29/2005
Last updated
07/08/2007
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