Individual
DR. RICHARD ALAN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CRAIN HWY, STE 410, GLEN BURNIE, MD 21061-6437
(410) 766-2500
(410) 766-2507
Mailing address
1600 CRAIN HWY, STE 410, GLEN BURNIE, MD 21061-6437
(410) 766-2500
(410) 766-2507
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
59992
TN
207RG0100X
Gastroenterology Physician
Primary
D13526
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470001
BC BS OF MD
MD
01
—
35442505
BC BS OF MD
MD
05
—
371001700
—
MD
Enumeration date
04/04/2006
Last updated
06/24/2020
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