Individual
AMANDA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7141 SECURITY BLVD, KAISER PERMANENTE WOODLAWN MEDICAL CENTER, BALTIMORE, MD 21244-1811
(443) 663-6000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A 10715
CA
207P00000X
Emergency Medicine Physician
253789
NY
207P00000X
Emergency Medicine Physician
Primary
H75050
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03135568
—
NY
Enumeration date
05/16/2009
Last updated
06/20/2021
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