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Individual

JUSTIN THOMAS BAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 OSTRUM ST STE 602, FOUNTAIN HILL, PA 18015-1184
(484) 526-6000
(833) 814-7406
Mailing address
701 OSTRUM ST STE 602, FOUNTAIN HILL, PA 18015-1184
(484) 526-6000
(833) 814-7406

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD480055
PA
390200000X
Student in an Organized Health Care Education/Training Program
57.028290
OH

Other

Enumeration date
07/06/2016
Last updated
01/08/2024
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