Individual
DR. MARK STEPHEN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM - 152M, JAMAICA PLAIN, MA 02130-4817
(857) 364-6380
(857) 364-6140
Mailing address
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM - 152M, JAMAICA PLAIN, MA 02130-4817
(857) 364-6380
(857) 364-6140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
74779
MA
Other
Enumeration date
06/30/2006
Last updated
02/09/2011
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