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Individual

FRITZ J BAUMGARTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3791 KATELLA AVE #201, VASCULAR AND GENERAL SURGERY ASSOC, LOS ALAMITOS, CA 90720
(562) 596-6736
(562) 596-5387
Mailing address
3791 KATELLA AVE #201, VASCULAR AND GENERAL SURGERY ASSOC, LOS ALAMITOS, CA 90720
(562) 596-6736
(562) 596-5387

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G55475
CA
2086S0129X
Vascular Surgery Physician
G55475
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G55475
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G554750
CA
Enumeration date
08/25/2006
Last updated
12/04/2009
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