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Individual

TIM J. BAISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
77 HOSPITAL AVE, SUITE 300, NORTH ADAMS, MA 01247-2550
(413) 664-5999
(413) 663-7257
Mailing address
77 HOSPITAL AVE, SUITE 300, NORTH ADAMS, MA 01247-2550
(413) 664-5999
(413) 663-7257

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
75783
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004139
VT
05
3095797
MA
Enumeration date
10/13/2005
Last updated
01/11/2010
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